Nurses' Presence at the Patient Bedside: Challenges Experienced by Nurses

Fallahnezhad, Tahereh; Norouzadeh, Reza; Samari, Banafshe; Ebadi, Abbas; Abbasinia, Mohammad; Aghaie, Bahman

doi:10.21203/rs.3.rs-513295/v1

Cited by 1 publication

(2 citation statements)

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“…The most pervasive consensus across participants was that the FSP should ‘ Be With ’ families who are witnessing a resuscitation. Participants’ descriptions of being with reflect the broader concept of nursing presence, which recently has been explicated in nursing discourse and declared a core relational skill for nurses (Fallahnezhad et al, 2021; Gelogahi et al, 2018; Mohammadipour et al, 2017). Enactment of presence typically includes nurses’ use of self through therapeutic communication and physical and psychological availability, which includes full attentiveness and intentional active listening (Mohammadipour et al, 2017; Stockmann, 2018).…”

Section: Discussionmentioning

confidence: 99%

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Family support person role during resuscitation: A qualitative exploration

Powers

Duncan

Twibell

2022

Journal of Clinical Nursing

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Aims and objectives To provide guidance to nurses by examining how critical care nurses perceive and perform the family support person role during resuscitation. Background Nurses can serve as family support person when families witness a loved one's resuscitation. However, few studies have examined the role of family support person to provide nurses with sufficient knowledge to enact the role. Design An exploratory‐descriptive qualitative design with individual, semi‐structured interviews. Methods Sixteen critical care nurses who had served as family support person completed interviews. The data were analysed by thematic analysis. COREQ guidelines were followed. Results Six themes were identified: Hard but Rewarding Role, Be With, Assess, First Moments, Explain and Support. Findings explicated nurses’ perceptions of the role and key role activities. Conclusions Nurses perceived the role as hard but rewarding. Role challenges included the need for quick, accurate assessments and interventions to keep family members safe, informed and supported, while allowing them to witness resuscitation. Key role activities included: being fully present and compassionately attentive to family, continuously assessing family members, coordinating the first moments when family presence during resuscitation commences, explaining in simple, tailored terms the resuscitation activities, and supporting the family emotionally and psychologically through a variety of strategies. Nurses noted the high variability in how families respond and the complexity of simultaneously performing the multi‐faceted role activities. Relevance to clinical practice To effectively support the growing global trend of family presence during resuscitation, nurses need the knowledge this study provides about how to fulfil the family support person role. Identifying the role activities may facilitate development of clinical guidelines and educational preparation for the role. Nurses can refine the many skills this role requires, building their competence and confidence, to increase opportunities for family members to experience family presence during resuscitation in a safe, and high‐quality manner.

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Section: Discussionmentioning

confidence: 99%

“…Participants' descriptions of being with reflect the broader concept of nursing presence, which recently has been explicated in nursing discourse and declared a core relational skill for nurses (Fallahnezhad et al, 2021;Gelogahi et al, 2018;Mohammadipour et al, 2017).…”

Section: Meeting Needsmentioning

confidence: 99%