Familjecentrerad vård har visat sig leda till bättre hälsoresultat och tillfredsställelse hos patienten och dess familj. Inom familjecentrerad vård ska familjen ses som en helhet och där barnet, familjen och sjukvårdsteamet bildar ett partnerskap där alla parter ska känna sig respekterade och arbeta tillsammans. Många familjer ser det som deras rätt att vara närvarande vid återupplivning och invasiva procedurer. Därför behöver sjuksköterskor vara förberedda på att stödja familjen i dessa akuta situationer. Syftet var att beskriva vilken betydelse familjecentrerad vård har för vårdkvaliteten inom akutsjukvården för barn. En litteraturstudie med en strukturerad litteratursökning utfördes som metod. Studier som belyste familjecentrerad vård inom akutsjukvård för barn inkluderades med avsikt att svara på syftet. Studier med kvalitativ och kvantitativ ansats samt med mixad metod som integrerar både kvalitativ och kvantitativ data inkluderades. Datainsamlingen gjordes i databaserna PubMed och CINAHL och dataanalysen gjordes utifrån Whittemore och Knafls (2005) integrativa översiktsmetod. I denna studie identifierades två teman, partnerskap samt familjenärvaro. Delaktighet i vården och respekt för familjen utformades som underkategorier till partnerskap. Påverkan på vården skapades som underkategori till familjenärvaro. Resultatet i föreliggande studie visar på att familjemedlemmars delaktighet i barnets vård är en viktig faktor för familjecentrerad vård. Detta genom att familjemedlemmarna deltar aktivt, närvarar vid invasiva procedurer och återupplivning, är med och planerar och utför omvårdnad samt bidrar med information om barnet. Inom familjecentrerad vård är sjuksköterskans roll att finnas där och lyssna till familjen. Familjecentrerad vård kan vara en strategi för att förbättra akutsjukvården för barn. Denna studie visar på att ett partnerskap mellan sjukvårdspersonal och familjemedlemmar och familjenärvaro vid invasiva procedurer och återupplivning är betydelsefulla faktorer för familjecentrerad vård. Familjemedlemmars delaktighet i barnets vård och att familjen är närvarande i alla situationer och finns där för sitt barn hjälper både dem och barnet i dess akuta tillstånd. Sjuksköterskors inställning om att föräldrar har rätt att finnas där och att tid finns för sjuksköterskorna att stötta familjen spelar också roll inom den familjecentrerade vården. / Family-centered care has been shown to lead to better health results and satisfaction for the patient and their family. In family-centered care the family is seen as a whole unit and where the child, the family and the health care team form a partnership where all parties feel respected and work together. Many families see it as their right to be present during resuscitation and invasive procedures. Therefore nurses should be prepared to support the family in these acute situations. The aim was to describe which importance family-centered care has for the quality of care in the emergency care for children. A literature review with a structured literature research was conducted as a method. Studies which elucidated family-centered care in emergency care for children were included with the intention to answer the aim. Studies using qualitative and quantitative approach and the mixed method that integrates both qualitative and quantitative data were included. The data was collected in the databases PubMed and CINAHL, and the data analysis was based on Whittemore and Knafls (2005) integrative review method. In this study two themes, partnership and family presence were identified. Participation in the care and respect for the family were conceived as subcategories of partnership. Impact on health care was created as a subcategory of family presence. The results of the present study show that family members’ involvement in the child’s care is an important element of family-centered care. This is achieved by the family members being participating actively, being present during invasive procedures and resuscitation, being involved in planning and nursing and contributing with information about the child. In family-centered care the nurse’s role is to be there and listen to the family. Family-centered care can be a strategy to improve emergency care for children. This study shows that a partnership between medical staff and family members and family presence during invasive procedures and resuscitation are significant factors for family-centered care. Family members’ involvement in the child’s care and that the family is present in all situations and are there for their children helps both them and the child in its acute condition. Nurses’ attitude that parents have the right to be there and that time is available for the nurses to support the family also plays a role in family-centered care.

Background: According to the ethical guidelines, family members of the patient should be allowed to be present during cardiopulmonary resuscitation (CPR). Nurses should be able to, besides performing CPR, decide if family presence is appropriate, support and explain the course of events to the family. Aim: The aim of this study was to illuminate nurses' experiences of family presence during resuscitation. Method: A literature study has been made of 11 qualitative studies, where differences and similarities were analysed. The studies were published between the years 2000 – 2015. Result: Two main themes were identified and five subthemes. The main themes were: "The nurse's experience of their work situation" and "The nurse's experience of the circumstances that affects the nursing". The findings showed that the nurses experienced a dilemma when they needed to decide if family presence was appropriate. The nurses experienced that a bond could be created with the families through the role of support person. They experienced that the family members could participate in the care but they could also be a distraction and a source of stress. Conclusion: Clear local guidelines would facilitate the decision if family presence is appropriate. A support person for the family would also facilitate the family's presence. More education and experience in this subject helps nurses overcome fears of difficulties often associated with family presence.