Family presence during cardiopulmonary resuscitation and invasive procedures: Practices of critical care and emergency nurses

MacLean, Susan; Guzzetta, Cathie E.; White, Cheri; Fontaine, Dorrie K.; Eichhorn, Dezra J.; Meyers, Theresa A.; Désy, Pierre

doi:10.1067/men.2003.100

Cited by 116 publications

(119 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…25 Research has repeatedly shown that nurses are not uniformly supportive of FPDR with adult patients, 2,26-28 and thus FPDR is not commonly implemented at the bedside. In fact, only approximately one-third of nurses from across practice settings implement FPDR in their bedside care, 2,27,28 and recent research suggests an even lower implementation rate in critical care, 26 despite frequent opportunities for implementation owing to the fact that 45% of in-hospital cardiac arrests occur in a critical care setting. 17 Without nursing support, it is highly likely that FPDR will not be implemented and family-centered care will not be upheld.…”

mentioning

confidence: 99%

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

Powers

Candela

2016

American Journal of Critical Care

View full text Add to dashboard Cite

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.

show abstract

mentioning

confidence: 99%

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

Powers

Candela

2016

American Journal of Critical Care

View full text Add to dashboard Cite

show abstract

“…Family presence has been put into practice through the support of professional organizations such as ENA, which included family presence in its trauma nurse course curriculum (TNCC) and also in the emergency nursing pediatric course (ENPC) (MacLean et al, 2003). Despite this growth, as of 2007 only 5% of hospitals had a policy pertaining to family presence (Mian, Warchal, Whitney, Fitzmaurice and Tancredi, 2007).…”

mentioning

confidence: 99%

“…Nurses often feel that having a loved one at the bedside can provide closure when he/she is aware that every effort was made. Other benefits can include gaining a relationship and providing familial support (MacLean et al, 2003). Implementing family presence requires vigilant nurses who, during resuscitation, advocate for what is best for the patient, which may or may not include family presence at the bedside.…”

mentioning

confidence: 99%

Nurses Perceptions of Family Presence during Resuscitation in the Emergency Department

Jennings¹

2014

Preprint

View full text Add to dashboard Cite

Family presence during resuscitation has been a controversial and much debated topic for many years. In the past decade, the movement toward family presence has steadily grown. The Emergency Nurses Association (ENA) and the American Heart Association (AHA) have endorsed family presence and incorporated guidelines for its implementation. Although becoming more accepted in practice, there are still many hospitals without family presence policies, and some nurses and other health care providers continue to identify concerns about its' use. The purpose of this project was to survey nurses' perceptions of family presence during resuscitation in the Emergency Department. A researcher developed a survey which was left in the study site's Emergency Department break room for a period of two weeks. The target samples were Registered Nurses (RNs) employed in the ED. Thirteen out of 59 RNs completed the survey. More than half of the respondents believed in general that family should be present, that family presence encouraged increased professional behavior from the RN, and families being present can facilitate closure. Recommendations and implications for advanced practice nursing and the need for future research are discussed.

show abstract

“…[2][3][4][5][6][7][8][9][10][11][12][13] Despite recommendations from professional organizations, consensus conferences, joint position and policy statements, and clinical practice guidelines regarding family presence during resuscitation, [14][15][16][17][18][19][20][21][22][23][24][25][26] only 5% of critical care units in the United States, 27 8% in Canada, 28 and 7% in Europe 29 have written policies that allow family presence. Surveys of nurses' practice indicate that many, if not most, critical care nurses have been asked by patients' family members if they could be present during resuscitation and invasive procedures and have brought such families to the bedside, despite the lack of formal written hospital policies.…”

mentioning

confidence: 99%

“…Surveys of nurses' practice indicate that many, if not most, critical care nurses have been asked by patients' family members if they could be present during resuscitation and invasive procedures and have brought such families to the bedside, despite the lack of formal written hospital policies. [27][28][29][30] …”

mentioning

confidence: 99%

Family Presence During Resuscitation and Invasive Procedures

2016

Critical Care Nurse

View full text Add to dashboard Cite

Family presence during cardiopulmonary resuscitation and invasive procedures: Practices of critical care and emergency nurses

Cited by 116 publications

References 34 publications

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

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

Nurses Perceptions of Family Presence during Resuscitation in the Emergency Department

Family Presence During Resuscitation and Invasive Procedures

Contact Info

Product

Resources

About