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. 2024 Dec 3;17(1):184.
doi: 10.1186/s12245-024-00766-3.

The relationship between self-confidence and attitude of emergency medical technicians towards family presence during resuscitation

Jaber Najafi  1 , Neda Gilani  2   3 , Hadi Hassankhani  1 , Mansour Ghafourifard  4 , Abbas Dadashzadeh  5   6 , Mahnaz Zali  1
Affiliations

The relationship between self-confidence and attitude of emergency medical technicians towards family presence during resuscitation

Jaber Najafi et al. Int J Emerg Med. .

Abstract

Background: Family presence during resuscitation is a controversial issue worldwide. The aim of this study was to investigate the self-confidence and attitudes of Emergency Medical Technicians (EMTs) towards family presence during resuscitation (FPDR).

Methods: In this cross-sectional study, a random sample of 252 EMTs were selected from 110 prehospital emergency centers. Two main questionnaires were used to collect data on the EMTs' self-confidence and attitudes towards FPDR.

Results: The results showed that the EMTs' attitudes towards FPDR were lower than the mean (43.69 ± 19.40). In addition, more than 85% of them stated that the resuscitation process was stressful for the patient's companions. There was a positive correlation between EMTs' self-confidence and attitudes towards FPDR (r = 0.52, p < 0.01). The results showed that the smaller number of family members present during resuscitation was associated with higher EMTs' self-confidence and more positive attitudes towards FPDR. Moreover, personnel with more experience, liability insurance, and advanced resuscitation training were significantly more self-confident than other personnel.

Conclusion: A large number of the EMS personnel have a negative attitude towards FPDR, but EMTs, with higher self-confidence, have a more positive attitude. Therefore, it is possible to improve the EMTs attitudes towards FPDR and increase their self-confidence by training them to perform resuscitation in the presence of the family and by preventing people from gathering at resuscitation scenes.

Keywords: Cardiopulmonary resuscitation; Emergency Medical technicians; Family presence during resuscitation; Prehospital Emergency Care; Self-confidence.

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Conflict of interest statement

Declarations. Ethical considerations and informed consent: This study was approved by the Regional Research Ethics Committee of Tabriz University of Medical Sciences (IR.TBZMED.REC.1400.030). In addition, participants were assured of the confidentiality of their information and participated in the study after completing the informed consent form. They were also informed that they could withdraw from the study at any time, and the study was conducted in accordance with the relevant guidelines and provisions of the Declaration of Helsinki. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

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