Journal of

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Abstract Background: There are different attitudes about family presence during CPR. This study was conducted in order to compare the attitudes of physicians, nurses and patients` immediate family towards presence of family members during adult resuscitation in teaching hospitals of Mazandaran University of Medical Sciences. Material and Methods: In this descriptive survey, the attitudes of 120 physicians, 200 nurses and 148 patients` immediate family were compared. Random stratified sampling was used as the sampling method. The data were collected using a self-developed questionnaire which its validity and reliability had been confirmed by “Content validity” and “Test-Retest” respectively (r=0/83).This questionnaire included some questions about demographic characteristics, positive and negative experiences and the attitudes towards family presence during CPR. Data were analyzed using Chi-square x2 and Fisher tests by the SPSS 16 software. Results: The majority of physicians and nurses (92/5% physicians, 80%nurses) believed that family presence during CPR is harmful. Fisher exact test showed significant difference between physicians and nurses views (x2=9.037 df=1 p value=0/002). The most important reason of negative attitudes of physicians and nurses has been interference of family members in CPR (90/8% physicians, 86/5% nurses).Less than half of the patients` immediate family (48%) wanted to be present during the CPR. There was a significant difference between attitudes of patients` immediate family and physicians and nurses (p=000) Conclusion: Regarding differences between physicians, nurses and patients` immediate family` attitudes towards family presence during CPR, it would be better to provide a determined plan identifying the family presence`s conditions during CPR in every hospital respectively.

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Background and purpose:
As people age, physical dysfunction often increases, leading to various challenges and a heightened need for urgent medical services. Elderly individuals are among the primary users of healthcare and pre-hospital emergency services. Their subjective experiences during emergencies are influenced by their need for timely and relevant information regarding emergency procedures and their clinical condition—a need that is also shared by their caregivers. This study aims to elucidate the experiences of elderly individuals who have used pre-hospital emergency services in Shiraz.
Methods:
This qualitative study was conducted in two phases. In Phase 1, semi-structured interviews were conducted with 21 elderly participants using purposeful and snowball sampling until data saturation was achieved. The interview transcripts were analyzed using Colaizzi’s method to extract key themes. In Phase 2, a panel of experts was convened to further discuss the findings and provide recommendations.
Results:
Analysis of the interviews revealed several themes related to the elderly’s experiences with pre-hospital emergency services. These themes were categorized into sub-themes including ambulance condition, performance of technicians, timeliness of emergency response, and issues related to emergency rules and regulations. In Phase 2, the expert panel offered practical solutions to address the identified challenges.
Conclusion:
The findings indicate that elderly patients face significant challenges when accessing pre-hospital emergency services, such as poor ambulance conditions, suboptimal technician performance, delayed emergency response times, and restrictive emergency protocols. The recommendations provided by the expert panel could inform policy development and lead to improvements in the quality of pre-hospital care for the elderly.