Offering the opportunity for family to be present during cardiopulmonary resuscitation: 1-year assessment

Jabre, P.; Tazarourte, Karim; Azoulay, Élie; Borron, Stephen W.; Belpomme, Vanessa; Jacob, Line; Bertrand, Lionel; Lapostolle, Frédéric; Combes, X.; Galinski, Michel; Pinaud, V.; Destefano, Carla; Normand, Domitille; Beltramini, A.; Assez, N.; Vivien, Benoît; Vicaut, Éric; Adnet, Frédéric

doi:10.1007/s00134-014-3337-1

Cited by 126 publications

(87 citation statements)

References 28 publications

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“…The majority were female (21), white (22), postgraduate (24) and worked for more than a year in the emergency unit (23), with professional experience ranging from six months to 15 years (average of 38.5 months of working).…”

Section: Resultsmentioning

confidence: 99%

Family centered care in emergency departments: perception of brazilian nurses and doctors

Barreto¹,

Arruda²,

García-Vivar³

et al. 2017

Escola Anna Nery - Revista De Enfermagem

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Cuidado centrado na família em unidades emergenciais: percepção de enfermeiros e médicos brasileirosCuidado centrado en la familia en unidades de urgencias: percepción de enfermeros y médicos brasileños Mayckel AbstrActObjective: To know the perception of doctors and nurses working in Emergency Care Units (ECU, in Brazil known as "UPA") on Family Centered Care (FCC). Methods: Descriptive study with qualitative approach conducted in two emergency units in Southern Brazil. Participated 32 health professionals, whose speeches were recorded, transcribed and subjected to content analysis. Results: The majority of respondents was unaware of the FCC, however, perceived it as a practice which values the family presence and allows its insertion in care. Many believed to be difficult to implement the FCC in Brazilian UPA, due to professional unpreparedness on the subject, high numbers and turnover of patients, the small physical space and socio-cultural profile of the population served. Conclusion: There is an urge for discussion of this care reference with managers and professionals, so that gradually, and to the extent of its possibilities, care to families in emergency units is expanded. Participaron 32 profesionales, cuyos discursos fueron grabados y transcritos para posteriormente ser analizados a través de análisis de contenido. Resultados: La mayoría de los participantes desconocía el CCF, pero lo percibía como una práctica que valora la presencia de la familia y permite su inserción en el cuidado. Muchos expresaron la dificultad de implementar el CCF en las UCU de Brasil, debido a la falta de preparación profesional, el alto flujo de pacientes, falta de estructura física y el perfil socio-cultural de la población. Conclusiones: Se considera necesario que tanto los gerentes como los profesionales conozcan el marco conceptual del CCF para promover la implantación de prácticas centradas en la familia en UCU.

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Section: Resultsmentioning

confidence: 99%

Family centered care in emergency departments: perception of brazilian nurses and doctors

Barreto¹,

Arruda²,

García-Vivar³

et al. 2017

Escola Anna Nery - Revista De Enfermagem

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“…14,15 Therefore, nursing support and implementation of FPDR are vital to the provision of family-centered care. Yet, recent research continues to demonstrate unfavorable or mixed views of FPDR (9) 32 (94) 0 (0) 1 (3) 2 (6) 1 (3) 1 (3) 0 (0) 12 (35) 6 (18) 8 (24) 7 (21) 1 (3) 3 (9) 3 (9) 18 (53) 9 (26) 1 (3) 1 (3) 3 (9) 11 (32) 4 (12) 3 (9) 12 (35) 24 (71) 0 (0) 9 (26) 1 (3) 0 (0) 22 (65) 11 (32) 1 (3) 32 (94) 2 (6) 0 (0) 38 (95) 2 (5) 34 (85) 3 (8) 2 (5) 1 (2) 0 (0) 1 (2) 0 (0) 8 (20) 9 (22) 11 (28) 11 (28) 1 (3) 1 (2) 12 (30) 18 (45) 8 (21) 1 (2) 0 ( www.ajcconline.org among nurses.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

“…11,12 Demonstrated benefits to family members include maintenance of desired patient-family connectedness and empowerment through being involved in their loved one's care. 5,13 FPDR also facilitates family members' grieving, [14][15][16] which is important because the survival rate for in-hospital cardiac arrest among adults is approximately 18%. 17 Research conducted with nurses and other health care providers has shown that FPDR increases family members' understanding and ability to make care decisions, improves emotional support for families and facilitates their grieving, and promotes professionalism among the members of the health care team.…”

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confidence: 99%

Family Presence During Resuscitation: Impact of Online Learning on Nurses’ Perception and Self-confidence

Powers

Candela

2016

American Journal of Critical Care

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Background Family presence during resuscitation (FPDR) is supported by patients and their family members. Nurses, however, including critical care nurses who frequently implement resuscitative care, have mixed views. Objectives To determine the impact of online learning on critical care nurses’ perception of and self-confidence with FPDR. Methods A 2-group, random assignment, pretest and posttest quasi-experimental study was conducted with critical care nurses recruited nationally. An online learning module on FPDR was developed and administered to the intervention group. Perceptions and self-confidence for FPDR were measured by using the Family Presence Risk- Benefit Scale (FPR-BS) and the Family Presence Self-confidence Scale (FPS-CS). Two-factor, mixed-model factorial analysis of variance was used to compare mean scores. Results A total of 74 critical care nurses participated in the study. Mean FPR-BS and FPS-CS scores were significantly greater in the intervention group than in the control group. For the intervention group, mean scores on the FPR-BS increased from 3.63 to 4.07 (P < .001) and on the FPS-CS increased from 4.24 to 4.57 (P < .001), signifying improved perception and self-confidence. Scores did not change significantly in the control group: mean FPR-BS score increased from 3.82 to 3.88 (P = .23) and the mean FPS-CS score of 4.40 did not change (P > .99). Conclusions Online learning is a feasible and effective method for educating large numbers of critical care nurses about FPDR. Online learning can improve perceptions and self-confidence related to FPDR, which may promote more widespread adoption of FPDR into practice.

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“…Meeting psychosocial needs in a time of crisis exemplifies care driven by the needs of patients and their families. depression, and traumatic grief are less frequent when families are permitted to be present during resuscitation than when they are not, both at 3 months and at 1 year after the event, with no medicolegal claims 50,56 Actions for Nursing Practice Ensure that your health care facility has written policies and procedures that support family presence during resuscitation and invasive procedures. Create an interdisciplinary task force (ie, nurses, physicians, social workers, pastoral care, respiratory care, child-life specialists, and patient/family advisors) to develop your family presence program.…”

Section: Scope and Impact Of The Problemmentioning

confidence: 99%

Family Presence During Resuscitation and Invasive Procedures

2016

Critical Care Nurse

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Offering the opportunity for family to be present during cardiopulmonary resuscitation: 1-year assessment

Abstract: At 1 year after the event, psychological benefits persist for those family members offered the possibility to witness the CPR of a relative in cardiac arrest.

Cited by 126 publications

References 28 publications

Family centered care in emergency departments: perception of brazilian nurses and doctors

Family centered care in emergency departments: perception of brazilian nurses and doctors

Family Presence During Resuscitation: Impact of Online Learning on Nurses’ Perception and Self-confidence

Family Presence During Resuscitation and Invasive Procedures

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