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

Abstract

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.

Family presence during resuscitation: Validation of the risk–benefit and self-confidence scales for student nurses

“…The tools have also been used to assess the effectiveness of educational interventions to increase student nurses knowledge, perception and confidence in facilitated family-witnessed resuscitation (Kantrowitz-Gordon, 2013;Powers, 2014).…”

Large-scale online education programmes and their potential to effect change in behaviour and practice of health and social care professionals: a rapid systematic review

“…Some of the outcomes explored in our review were examined in other studies of e-learning directed at health and social care practitioners, particularly confidence and related selfefficacy. A recent PhD thesis confirmed the positive impact of an e-learning module on perceptions and self-confidence of nurses in implementing family presence during resuscitation of adults (Powers, 2014). In another investigation, an online course incorporating asynchronous discussions with peers and a facilitator over a scheduled delivery (Curran et al, 2010).…”

The relationship between self-confidence and attitude of prehospital emergency personnel towards family presence during resuscitation

“…The results of the present study indicated that the personnel members who had received advanced cardiopulmonary resuscitation training had higher levels of self-con dence and more positive attitudes towards FPDR. In this regard, the results of the previous studies have shown that the personnel members' training results in an increase in their self-con dence to perform resuscitation and improves their attitudes towards FPDR [30,40,41]. In addition, based on the results, the personnel with considerable experience had higher levels of self-con dence.…”