title: Family member presence for procedures: the resident's perspective.
abstract: OBJECTIVE
  To describe resident acceptance of and comfort with family member presence (FMP) during pediatric invasive procedures and resuscitation in a large, multicenter pediatric residency program. To determine if increased level of training impacts on opinion toward FMP for procedures.
  
  
  METHODS
  Seventy-six residents of postgraduate levels 1-4 were administered a survey about FMP for procedures. The survey consisted of 4 Likert-scale questions and 1 multiple-choice question of resident acceptance of and comfort with FMP during procedures and cardiopulmonary resuscitation (CPR). Statistical analysis was performed using the Mann-Whitney U test and one-way analysis of variance (ANOVA).
  
  
  RESULTS
  Fifty-three residents (70%) responded. Residents were accepting of FMP during procedures, with a mean score of 3.9/5. However, residents were less accepting of FMP presence during CPR, with a mean score of 2.84/5. There was a trend toward increased comfort and acceptance of FMP with increased level of training; however, this was not statistically significant. In our study, nearly one half of residents (45%) reported that their major reservation toward FMP was that resident anxiety could result in procedure or resuscitation failure.
  
  
  CONCLUSIONS
  The residents in our pediatric training program generally accept FMP for procedures. Residents were less accepting of FMP for CPR than for procedures. Residents most commonly oppose FMP for procedures because they believe this will make them anxious and lead to failure. This information provides insight into the implementation of FMP for procedures in a medical education setting.
authors.affiliation: University of North Carolina Department of Pediatrics, Chapel Hill, NC 27599-7220, USA. kbradfor@med.unc.edu
authors.forename: Kathleen K
authors.initials: KK
authors.lastname: Bradford
authors.forename: Susanne
authors.initials: S
authors.lastname: Kost
authors.forename: Steven M
authors.initials: SM
authors.lastname: Selbst
authors.forename: Amy E
authors.initials: AE
authors.lastname: Renwick
authors.forename: Amanda
authors.initials: A
authors.lastname: Pratt
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D005190:Family; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D010372:Pediatrics / Q000193:education*; D011368:Professional-Family Relations; D012151:Resuscitation