Aims Guidelines support family-witnessed resuscitation (FWR) during cardiopulmonary resuscitation in hospital if deemed to be safe, yet barriers amongst healthcare professionals (HCPs) still exist. This study aimed to evaluate the effects of an educational online video intervention on nurses’ and physicians’ attitudes towards in-hospital FWR and their self-confidence in managing such situations. Methods and results A pre- and post-test quasi-experimental study was conducted October 2022 to March 2023 at six Swedish hospitals involving the departments of emergency care, medicine, and surgery. The 10 min educational video intervention was based on previous research covering the prevalence and outcome of FWR, attitudes of HCP, patient and family experiences, and practical and ethical guidelines about FWR. In total, 193 accepted participation, whereof 91 answered the post-test survey (47.2%) with complete data available for 78 and 61 participants for self-confidence and attitudes, respectively. The self-confidence total mean scores increased from 3.83 to 4.02 (P < 0.001) as did the total mean scores for attitudes towards FWR (3.38 to 3.62, P < 0.001). The majority (71.0%) had positive views of FWR at baseline and had experiences of in-hospital FWR (58.0%). Self-confidence was highest amongst participants for the delivery of chest compressions (91.2%), defibrillation (88.6%), and drug administration (83.3%) during FWR. Self-confidence was lowest (58.1%) for encouraging and attending to the family during resuscitation. Conclusion This study suggests that a short online educational video can be an effective way to improve HCP’s self-confidence and attitudes towards the inclusion of family members during resuscitation and can support HCP in making informed decisions about FWR.

中文翻译：

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院内心肺复苏期间家人在场：在线教育干预对医疗保健专业人员自信心和态度的影响

目标指南支持在认为安全的情况下在医院进行心肺复苏期间进行家庭见证复苏 (FWR)，但医疗保健专业人员 (HCP) 之间仍然存在障碍。本研究旨在评估在线教育视频干预对护士和医生对院内 FWR 的态度以及他们处理此类情况的自信心的影响。方法和结果 2022 年 10 月至 2023 年 3 月，在涉及急诊、内科和外科的六家瑞典医院进行了测试前和测试后的准实验研究。10 分钟的教育视频干预基于之前的研究，涵盖 FWR 的患病率和结果、HCP 的态度、患者和家庭的经历以及 FWR 的实用和道德准则。共有 193 人接受参与，其中 91 人回答了测试后调查（47.2%），分别有 78 人和 61 人获得了自信和态度的完整数据。自信心总平均分从 3.83 增加到 4.02（P < 0.001），对 FWR 态度的总平均分也从 3.38 增加到 3.62，P < 0.001）。大多数人 (71.0%) 在基线时对 FWR 有积极看法，并且有过住院 FWR 的经历 (58.0%)。参与者对 FWR 期间进行胸外按压 (91.2%)、除颤 (88.6%) 和给药 (83.3%) 的自信心最高。对复苏过程中鼓励和照顾家人的自信心最低（58.1%）。结论 本研究表明，简短的在线教育视频可以成为提高 HCP 的自信心和在复苏期间对家庭成员包容的态度的有效方法，并可以支持 HCP 做出有关 FWR 的明智决定。