Factors influencing medical staff’s intentions to implement family-witnessed cardiopulmonary resuscitation: A cross-sectional, multihospital survey

Chen, Chien Liang; Tang, Jing-Jou; Lai, Meng Kuan; Hung, Chiu Hsia; Hsieh, Hsiu Mei; Yang, Hui; Chuang, Chia Chang

doi:10.1177/1474515117692663

Cited by 9 publications

(4 citation statements)

References 41 publications

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“…Another study, which reported that 48% of 124 ICU nurses with abundant CPR experience never advised families to be present during resuscitation and that 45% had only invited families 1–5 times, confirms that FPDR is primarily determined by healthcare providers (Powers & Candela, 2017). This is in line with the findings of a study with 1,122 healthcare providers in Taiwan, which reported that only 3.7% were supportive of the FPDR policy (Chen et al, 2017), and of a Brazilian study on inpatient ward nurses in a cardiology and pneumology department, which reported that 57.1% of the nurses mentioned that FPDR delayed the initiation of CPR and that 67.3% believed that it may have an adverse effect on CPR quality (Citolino Filho et al, 2015). However, these results differ from findings reported in the USA, where 67.8% of nurses (Helmer et al, 2000) and 77% of healthcare professionals (Lederman & Wacht, 2014) have allowed FPDR.…”

Section: Discussionsupporting

confidence: 91%

Predicting nurses' intentions in allowing family presence during resuscitation: A cross‐sectional survey

Park

2021

Journal of Clinical Nursing

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Aims and Objectives This study examined nurses' intention to allow family presence during resuscitation (FPDR) by applying the theory of planned behaviour with an extended concept. Background Medical institutions, including nurses and other medical professionals working in emergency and intensive care units, are reluctant to allow FPDR. However, this practice reduces the family's anxiety and stress while fostering well‐being and minimises their feelings of helplessness and distress by making them believe that they have helped the patient. Design A cross‐sectional descriptive design was used in this study. Methods The participants were 252 nurses who had been working for at least 3 months in a general hospital in South Korea. Data were collected using self‐report questionnaires in April 2020 and were analysed using descriptive statistics, Pearson's correlation analysis and multiple regression analysis. The instruments were intention to allow FPDR (five constructs: intention to allow FPDR, positive attitude, negative attitude, subjective norm and perceived behavioural control), perception of FPDR and self‐confidence. The STROBE checklist was used for reporting this study. Results The mean score for the intention to allow FPDR was 3.47 out of 5. The regression analysis results indicated that perception of FPDR, positive attitude and negative attitude predicted the intention to allow FPDR. Conclusions It is necessary to develop educational programmes to change the perceptions of and attitudes towards FPDR. Additionally, written policies and protocols for FPDR in South Korea are needed to develop systematic care for patients’ families during cardiopulmonary resuscitation. Relevance to clinical practice The findings of this study provide baseline data for developing FPDR policies and guidelines that could minimise the family's distress and allow them to feel that they have helped the patient.

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Section: Discussionsupporting

confidence: 91%

Predicting nurses' intentions in allowing family presence during resuscitation: A cross‐sectional survey

Park

2021

Journal of Clinical Nursing

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“…In this study, EPBI is considered to be the intention of MHO staff to prepare so as to avoid losses from emergencies. As an essential theory to explain the general decision-making process of individual rational behavior, TPB is widely used in the field of behavioral science, and has been proved to have good explanatory and predictive power of human behavior, and can help researchers understand how people change their behavior patterns [11][12][13]. TPB holds that thoughtful and planned behavior comes from behavior intention, which depends on people's attitude towards behavior, subjective norms, and perceived behavioral control [14].…”

Section: Introductionmentioning

confidence: 99%

Study on the Formation Mechanism of Medical and Health Organization Staff’s Emergency Preparedness Behavioral Intention: From the Perspective of Psychological Capital

Zhao

Wang

Hong

2021

IJERPH

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Medical and Health Organization (MHO) staff’s emergency preparedness awareness and behaviors are essential variables that affect public health emergency response effectiveness. Based on the theory of psychological capital and the theory of planned behavior (TPB), this study discusses the mechanism of the psychological characteristics of MHO staff on their emergency preparedness behavioral intention (EPBI). To verify the research model, we conducted a web-based questionnaire survey among 243 MHO staff from China and analyzed the data using the structural equation modeling software, AMOS 24.0 (IBM, New York, United States). The empirical results reveal that psychological capital significantly affected cognitive processes theorized by TPB. This study suggests that the positive psychological capital of MHO staff should be developed and managed to improve their EPBI.

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“…49,50 Chen et al recommended the implementation of family-witnessed CPR policies in Taiwanese regional hospitals, demonstrating that family-witnessed CPR is gaining attention in Asian countries. 51 From a patient perspective, a qualitative study highlighted that successfully resuscitated patients were supportive of having their family members witnessing their CPR in terms of the emotional support and the advocacy of the family. 52 A recent cross-sectional study confirmed these results.…”

Section: Discussionmentioning

confidence: 99%

“Am I also going to die, doctor?” A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient

Fiori

Latour

Los

2017

European Journal of Cardiovascular Nursing

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Background: There is a growing interest in the impact of family-witnessed resuscitation. However, evidence about the effect of hospitalised patients witnessing other patients' resuscitations is limited. Aim: The aim of this systematic review is to explore the existing evidence related to the impact on patients who witness resuscitation attempts on other patients in hospital settings. Methods: The databases BNI, CINAHL, EMBASE, MEDLINE and PsycINFO were searched with the terms 'patient', 'inpatient', 'resuscitation', 'CPR', 'cardiopulmonary resuscitation' and 'witness'. The search strategy excluded the terms 'out-of-hospital', 'family' and 'relative'. The inclusion criteria were: studies related to patients exposed to a resuscitation attempt performed on another patient; quantitative and qualitative design; and physiological or psychological outcome measures. No limitations of date, language or settings were applied. Results: Five of the 540 identified studies were included: two observational studies with control groups and three qualitative studies with interviews and focus groups. Articles were published between 1968 and 2006 and were mostly rated to have a low quality of evidence. Quantitative results of the observational studies showed an increased heart rate in the study group witnessing a resuscitation (p = 0.05), increased systolic blood pressure (p < 0.01) and increased anxiety (p < 0.01). The qualitative studies highlighted the coping strategies adopted by exposed patients in response to witnessing resuscitation, including denial and dissociation. Conclusions: Our findings suggest that patients may find witnessing resuscitation to be a stressful experience. However, the evidence is sparse and mainly of poor quality. Further research is needed in order to better understand the impacts of patients witnessing a resuscitation of another patient and to identify effective support systems.

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Factors influencing medical staff’s intentions to implement family-witnessed cardiopulmonary resuscitation: A cross-sectional, multihospital survey

Cited by 9 publications

References 41 publications

Predicting nurses' intentions in allowing family presence during resuscitation: A cross‐sectional survey

Predicting nurses' intentions in allowing family presence during resuscitation: A cross‐sectional survey

Study on the Formation Mechanism of Medical and Health Organization Staff’s Emergency Preparedness Behavioral Intention: From the Perspective of Psychological Capital

“Am I also going to die, doctor?” A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient

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