Family presence during resuscitation (FPDR): Perceived benefits, barriers and enablers to implementation and practice

Porter, Joanne E.; Cooper, Simon; Sellick, Kenneth John

doi:10.1016/j.ienj.2013.07.001

Cited by 60 publications

(87 citation statements)

References 23 publications

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“…Other studies show similar findings: while ones show that the presence of family members during CPR is assessed as beneficial by nurses and/or team members (18)(19)(20) , others show that professionals do not approve it, have no opinion about the matter or never experienced it (20)(21) .…”

Section: Discussionmentioning

confidence: 73%

Factors affecting the quality of cardiopulmonary resuscitation in inpatient units: perception of nurses

Filho

Santana–Santos

Silva

et al. 2015

Rev. esc. enferm. USP

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Objective: To identify, in the perception of nurses, the factors that affect the quality of cardiopulmonary resuscitation (CPR) in adult inpatient units, and investigate the influence of both work shifts and professional experience length of time in the perception of these factors. Method: A descriptive, exploratory study conducted at a hospital specialized in cardiology and pneumology with the application of a questionnaire to 49 nurses working in inpatient units. Results: The majority of nurses reported that the high number of professionals in the scenario (75.5%), the lack of harmony (77.6%) or stress of any member of staff (67.3%), lack of material and/or equipment failure (57.1%), lack of familiarity with the emergency trolleys (98.0%) and presence of family members at the beginning of the cardiopulmonary arrest assistance (57.1%) are factors that adversely affect the quality of care provided during CPR. Professional experience length of time and the shift of nurses did not influence the perception of these factors. Conclusion: The identification of factors that affect the quality of CPR in the perception of nurses serves as parameter to implement improvements and training of the staff working in inpatient units. DESCRIPTORSHeart Arrest; Cardiopulmonary Resuscitation; Emergency Nursing; Impatient Care Units.Factors affecting the quality of cardiopulmonary resuscitation in inpatient units: perception of nurses* Fatores que comprometem a qualidade da ressuscitação cardiopulmonar em unidades de internação: percepção do enfermeiro Factores que comprometen la calidad de la reanimación cardiopulmonar en unidades de estancia hospitalaria: percepción del enfermero

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Section: Discussionmentioning

confidence: 73%

Factors affecting the quality of cardiopulmonary resuscitation in inpatient units: perception of nurses

Filho

Santana–Santos

Silva

et al. 2015

Rev. esc. enferm. USP

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“…20 The emergency team must make efforts starting with the recognition of the importance of the presence of the family, including the family in the decision-making process and allowing them the opportunity to actively participate in all stages of recovery and treatment of the patient. 21 Statements of families can be seen in another study which highlights that the presence of family during emergency care is capable of supporting understandings of every process of patient care that requires emergency care, and reduces the doubts in relation to the efforts and performance of the team. 21 Offering families the opportunity to be present during emergency care, allows health professionals to meet the needs of all involved in a time of extreme crisis.…”

Section: Discussionmentioning

confidence: 99%

“…21 Statements of families can be seen in another study which highlights that the presence of family during emergency care is capable of supporting understandings of every process of patient care that requires emergency care, and reduces the doubts in relation to the efforts and performance of the team. 21 Offering families the opportunity to be present during emergency care, allows health professionals to meet the needs of all involved in a time of extreme crisis. [22][23] The hospital is seen as a place of healing, the intention of bringing a child to this place aims to ease the situation of risk and to seek resolution with health professionals.…”

Section: Discussionmentioning

confidence: 99%

Family Perception About Their Presence or Not in a Pediatric Emergency Situation

Buboltz

Silveira

Neves

et al. 2016

Texto contexto - enferm.

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ABSTRACT:The objective was to understand the perception of family members who experienced an emergency situation in relation to their presence or not during the child's treatment in the Pediatric Emergency Department. A qualitative study developed in a Pediatric Emergency Department. The study subjects consisted of ten relatives who had experienced an emergency situation. Data collection was through semi-structured interviews and data were submitted for thematic content analysis. The results showed that among the ten relatives interviewed only one said that they preferred not to remain with the child during the emergency situation. Regarding the clinical condition of the children, five of them had special health care needs. Previous negative situations had influenced the family member's choice of staying during the assistance. Considering the benefits of family presence, it is recommended that nursing teams develop strategies which can facilitate the inclusion of the family in child care in any situation, while respecting the uniqueness of each person. El objetivo fue conocer la percepción de la familia que vivió una situación de emergencia con respecto a su presencia o no en el cuidado de niños en la Sala de Emergencia Pediátrica. Estudio cualitativo desarrollado en la Sala de Emergencia Pediátrica con diez familiares que experimentaron una situación de emergencia. La recolección de datos fue través de entrevistas semiestructurados y ellos fueron sometidos a análisis de contenido temática. Mostraron que de los diez familiares entrevistados, sólo uno dijo que no prefiere permanecer con el niño durante la emergencia. Acerca de la situación clínica de los niños, cinco de ellos tenían necesidades especiales de salud. Situaciones negativas anteriores influenciaron en la elección de permanecer durante la asistencia. Teniendo en cuenta los beneficios de esta permanencia, se recomienda que la enfermería desarrolle estrategias que faciliten la inclusión de la familia, respetando la singularidad de cada persona. DESCRIPTORS: DESCRIPTORES:Niño. Familia. Cuidadores. Servicios médicos de emergencia. Enfermería pediátrica.

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“…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. 2,26 Consequently, the need for creation of policies and programs and an increase in education 1,29,44,45 to facilitate acceptance and implementation of FPDR continues to be emphasized. Yet, among our total sample of critical care nurses who are frequently exposed to resuscitative care, we found that only 29.7% worked in a facility or unit that had an FPDR policy and only 41.9% had received any prior education on FPDR.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

“…2,28 Commonly cited risks include potential for interference with patient care, emotional distress and psychological trauma of the family, and increased risk for litigation. 1,21,22,29 Research has disproven these perceived risks, yet nurses' negative perceptions persist and are viewed as an obstacle to support and implementation of FPDR. Change theory supports the need for interventions to change nurses' perceptions of the risks and benefits of FPDR.…”

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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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Family presence during resuscitation (FPDR): Perceived benefits, barriers and enablers to implementation and practice

Cited by 60 publications

References 23 publications

Factors affecting the quality of cardiopulmonary resuscitation in inpatient units: perception of nurses

Factors affecting the quality of cardiopulmonary resuscitation in inpatient units: perception of nurses

Family Perception About Their Presence or Not in a Pediatric Emergency Situation

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

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