Clinical Practice Guideline: Family Presence

Vanhoy, Mary Alice; Horigan, Annie; Stapleton, Stephen J.; Valdez, Anna Maria; Bradford, Judith Young; Killian, Marylou; Slivinski, Andrea; Zaleski, Mary Ellen; Proehl, Jean A.; Wolf, Lisa; Delao, Altair M.; Gates, Leslie

doi:10.1016/j.jen.2018.11.012

Cited by 27 publications

(15 citation statements)

References 55 publications

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“…In the 1990s, research published in JEN paved the way in best practices related to family presence during cardiopulmonary resuscitation, 85,86 leading to the publication of an ENA position statement advocating for family presence during resuscitation 87 and an eventual clinical practice guideline, "Family Presence During Invasive Procedures and Resuscitation." 88 Dozens of other practice guidelines and improvements, including the use of capnography, difficult intravenous access, intimate partner violence screening, orthostatic vital signs, preventing blood culture contamination, and many others were developed. 89,90 These clinical practice guidelines guide emergency nurses and educators to perform nursing duties at the highest standard available.…”

Section: Supporting Evidence-based Practicementioning

confidence: 99%

The Emergency Nurses Association: 50 Years of Advocacy and Advancement

Milbrath¹,

Snyder²

2021

Journal of Emergency Nursing

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To commemorate the 50th anniversary of the Emergency Nurses Association, this article describes the 3 most enduring and impactful policy initiatives in the organization's history. These initiatives were identified through a comprehensive review of the articles published in the Journal of Emergency Nursing as well as in other publications of the Emergency Nurses Association, including position statements and press releases. The top 3 policy issues throughout the Emergency Nurses Association's history were identified as provision of care for vulnerable populations, trauma and injury prevention, and patient quality and safety. The Emergency Nurses Association also worked hard to professionalize emergency nursing within the realms of nursing and emergency services during the first half of its history, and since then the Emergency Nurses Association has promoted issues related to the emergency nursing workforce and to ensuring a safe and sustainable environment in which nurses practice. This article includes critical constructs such as the professionalization of emergency nursing; advocating for vulnerable populations such as children, older adults, and people experiencing sexual violence or human trafficking; improvements in trauma care and injury prevention; promoting quality and safety through nursing certifications, efficient and accurate nurse triage, and disseminating best practices in evidence-based care; and supporting the nursing workforce by championing issues such as workplace violence, ED crowding, and healthy work environments.

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Section: Supporting Evidence-based Practicementioning

confidence: 99%

The Emergency Nurses Association: 50 Years of Advocacy and Advancement

Milbrath¹,

Snyder²

2021

Journal of Emergency Nursing

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“…However, there are no specific guidelines for how to support parents when they are present during their child's resuscitation 7,47 . Although the ENA's clinical practice guideline indicates that in the United States, both healthcare professionals and families are accepting of family presence during resuscitation, it strongly recommends that each institution develop policies and procedures to address the needs of family when present during resuscitative events 48 . Contextual guidelines could be useful to prevent a sense of duality in personnel decisions as to whether parents should be present during resuscitation and to help ensure adequate support is provided to parents.…”

Section: Discussionmentioning

confidence: 99%

Resuscitation Team Members' Perceptions of Supporting Parents During Cardiopulmonary Resuscitation of Children

Ghavi¹,

Hassankhani²,

Powers³

2023

Dimens Crit Care Nurs

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Introduction Supporting parents is a crucial part of family-centered care in pediatric and neonate resuscitation. Objectives The aim of this systematic review was to appraise and synthesize studies conducted to determine resuscitation team members' perspectives of support for parents during pediatric and neonate resuscitation. Methods The PRISMA model guided the systematic literature search of Google Scholar, PubMed, MEDLINE, CINAHL, Cochrane, and Scopus for studies published until May 2022. The authors independently screened all titles, abstracts, and full-text articles for eligibility. There was agreement about screened articles for inclusion. Full texts of all potentially relevant studies were evaluated for the rigor of the study design, sample, and analysis. This review included quantitative, qualitative, and mixed-methods studies. The quality of evidence across the included studies was assessed using the risk of bias in non-randomized studies of interventions (ROBINS-I) tool as part of GRADE’s (Recommendations Assessment, Development, and Evaluations) certainty rating process. Results There were 978 articles located. After reviewing for relevancy, 141 full-text articles were assessed, and 13 articles met criteria and were included in this review (4 quantitative, 7 qualitative, and 2 mixed-methods design). Five themes were revealed to summarize resuscitation team members' perspectives of parental support in pediatric resuscitation: providing information to parents, family facilitator, emotional support, presence of parents during resuscitation, and spiritual and religious support. Conclusions The results of this systematic review can be used to improve support for parents by informing the education of resuscitation team members and clarifying policies and guidelines of resuscitation team roles to include support for parents.

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“…Likewise, the majority of FPDR related literature is published in nursing‐journals which may be an indicator that it has yet to find its way into the mindset of physicians. This theory is enhanced when one considers that the only official set of FPDR guidelines known to the authors, is produced by the Emergency Nurse Association 65 …”

Section: Discussionmentioning

confidence: 99%

“…This theory is enhanced when one considers that the only official set of FPDR guidelines known to the authors, is produced by the Emergency Nurse Association. 65 We believe that FPDR should be prioritised in multidisciplined teams during the education of young HCP if FPDR is to be implemented.…”

Section: Perspectivesmentioning

confidence: 99%

The healthcare professionals' perspectives and experiences with family presence during resuscitation: A qualitative evidence synthesis

Rubin,

Meulengracht,

Frederiksen

et al. 2023

Acta Anaesthesiol Scand

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IntroductionFamily presence during resuscitation (FPDR) is a growing hospital praxis despite lack of high‐quality evidence. The aim of this qualitative evidence synthesis review was to synthesize current evidence regarding healthcare professionals (HCP) perspectives on barriers and facilitating factors of FPDR and the potential impact of FPDR on HCP performance.MethodsWe conducted a systematic literature search May 17, 2023 including primary studies with qualitative study designs. We applied NVivo for data analysis. Data was coded with line‐by‐line coding and organized into themes and categories following the method for thematic synthesis described by Thomas and Harden to analyse data. The studies underwent quality appraisal by Critical Appraisal Skills Program. We used GRADE CERQual to assess the confidence in the evidence.ResultsWe identified 8241 articles suitable for screening, 141 articles were full text screened, and nine studies included from Australia, UK and USA. In total, 134 HCP participated, between 2005 and 2019. Most studies lacked sufficiently rigorous data analysis and findings were appraised to have moderate GRADE CERQual confidence.We identified three analytical themes (“Facilitating factors for FPDR”, “Barriers for FPDR” and “How staff are affected by FPDR”) with eight descriptive subthemes. One finding was of high GRADE CERQual confidence: a belief that FPDR is “the right thing to do” which was a “Facilitating factor of FPDR.”ConclusionThe evidence on HCP perspectives is of low to moderate confidence. The interviewed consent that FPDR is the “right thing to do”, and an ethical principle of beneficence is dominant, especially regarding children.

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Clinical Practice Guideline: Family Presence

Cited by 27 publications

References 55 publications

The Emergency Nurses Association: 50 Years of Advocacy and Advancement

The Emergency Nurses Association: 50 Years of Advocacy and Advancement

Resuscitation Team Members' Perceptions of Supporting Parents During Cardiopulmonary Resuscitation of Children

The healthcare professionals' perspectives and experiences with family presence during resuscitation: A qualitative evidence synthesis

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