Using Research to Determine Support for a Policy on Family Presence During Resuscitation

Basol, Roberta; Ohman, Kathleen A.; Simones, Joyce; Skillings, Kirsten

doi:10.1097/dcc.0b013e3181ac4bf4

Cited by 39 publications

(35 citation statements)

References 25 publications

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“…The lack of experience with FPDR may have also been reflected in the lower percentage of nurses in our study who agreed with providing families with the option of being present during resuscitation compared with the percentage in other studies. 6,12 Consistent with findings in previous studies, 10,11 membership in a professional nursing organization and board certification were associated with higher perceived benefits and self-confidence. Additionally, participants with training in Advanced Cardiac Life Support and experience with mock codes had higher self-confidence in their performance during FPDR.…”

Section: Discussionsupporting

confidence: 88%

Nurses’ Perceptions of Family Presence during Resuscitation

Tudor

Berger

Polivka

et al. 2014

American Journal of Critical Care

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Background Although strong evidence indicates that the presence of a patient's family during resuscitation has a positive effect on the family, the practice is still controversial and is not consistently implemented. Objectives To explore nurses' experience with resuscitation, perceptions of the benefits and risks of having a patient's family members present, and self-confidence in having family presence at their workplace. Differences in demographic characteristics and relationships between nurses' perceptions of self-confidence and perceived risks and benefits of family presence were evaluated. Methods The study was descriptive, with a cross-sectional survey design. A convenience sample of 154 nurses working in inpatient and outpatient units at an urban hospital were surveyed. The 63-item survey included 2 previously validated scales, demographic questions, and opinion questions. Results Nurses' self-confidence and perceived benefit of family presence were significantly related (r = 0.54; P < .001). Self-confidence was significantly greater in nurses who had completed training in Advanced Cardiac Life Support, had experienced 10 or more resuscitation events, were specialty certified, or were members of nurses' professional organizations. Barriers to family presence included fear of interference by the patient's family, lack of space, lack of support for the family members, fear of trauma to family members, and performance anxiety. Conclusions Changing the practice of family presence will require strengthening current policy, identifying a team member to attend to the patient's family during resuscitation, and requiring nurses to complete education on evidence that supports family presence and changes in clinical practice. (American Journal of Critical Care. 2014;23:e88-e96)

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Section: Discussionsupporting

confidence: 88%

Nurses’ Perceptions of Family Presence during Resuscitation

Tudor

Berger

Polivka

et al. 2014

American Journal of Critical Care

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“…These include concern about the possible negative emotional effect on family members, family behaviour, lack of a nominated staff member to support family, increased stress for staff, the risk of litigation, an overcrowded resuscitation room, resuscitation being stopped too soon or continued longer than necessary, and staff appearing uncaring [14,[18][19][20]. As a result of these beliefs staff may have anxieties related to FWR and view the practice negatively.…”

Section: Introductionmentioning

confidence: 99%

Family-Witnessed Resuscitation: Perceptions of Nurses and Doctors Working in an Australian Emergency Department

Chapman

Watkins

Bushby³

et al. 2012

ISRN Emergency Medicine

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Inconsistencies abound in the literature regarding staff attitudes and perceptions toward family-witnessed resuscitation. Our study builds on previous research by using a validated tool to investigate emergency department staff perceptions of family-witnessed resuscitation. A cross-sectional survey was distributed to 221 emergency department doctors' and nurses' . We found few differences between doctors and nurses perceptions toward family-witnessed resuscitation. Both nurses and doctors who held a specialty certification, who were more highly qualified, who had more experience with family presence during resuscitation, and who had a personal preference for having family members present during their own resuscitation perceived more benefits and fewer risks, as well as more confidence in their ability to manage these events. However, nurses more than doctors want patients to provide advanced directives for family presence. The findings will enable clinicians, educators, and hospital management to provide better support to all stakeholders through these events.

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“…25,13,1,4 Family facilitators have been used in family presence options within the pediatric population. 26 This role may be filled by a licensed professional nurse, chaplain, social worker, or a guest relations specialist.…”

Section: Acting On the Evidencementioning

confidence: 99%

“…26 This role may be filled by a licensed professional nurse, chaplain, social worker, or a guest relations specialist. 27,28,18,26,25 In our hospital a guest relations specialist is hired to provide family support and fulfills the FF role. According to the ENA, the option should not be offered without someone serving in the role of FF.…”

Section: Acting On the Evidencementioning

confidence: 99%