Family presence during resuscitation: A descriptive study with Iranian nurses and patients' family members (original) (raw)
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Nursing in Critical Care, 2012
The presence of family in the patient care area during resuscitation events is a matter of current debate among health care professionals in many communities. Family presence is highly recommended by many health organizations worldwide for several reasons including patient and family rights. There are no policies or guidelines in Saudi Arabia to guide health professionals in their practice regarding the option of family being present during resuscitations. The purpose of this study was to identify the attitudes of nurses towards family presence during resuscitation in the Muslim community of Saudi Arabia. Design: This is a descriptive survey using data from a convenience sample of 132 nurses using a self-administered questionnaire. The study took place in two major trauma centres in the eastern region of Saudi Arabia. Results: The analysis of the data revealed that nurses (n = 132) had negative attitudes towards family presence during resuscitation. A high percentage (77·2%) agreed that witnessing resuscitation is a traumatic experience for the family members. Almost all participants (92·3%) disagreed with the statement that the practice of allowing family members to be present during the resuscitation of a loved one would benefit the patient and 78% disagreed with the statement that it would benefit families. The majority of the participants (65%) revealed that the presence of family would negatively affect the performance of the resuscitation team. However, almost half of the sample (43·8%) would prefer a written policy allowing the option of family presence during resuscitation in Saudi Arabia. Conclusion: The findings of the study strongly suggest the need for the development of written policies offering families the option to remain with patients during resuscitation in Saudi Arabia. The study further recommends the development of education programs for staff and public for the safe implementation of the practice.
Iranian nurse attitudes towards the presence of family members during CPR
British Journal of Cardiac Nursing, 2016
Aim: The presence of family members at the time of cardiopulmonary resuscitation (CPR) is essential in family-centered care. Since nurses have an important role in facilitating the attendance of patients' family members in this regard, the present study was conducted to examine nurse attitudes towards the family's presence during CPR. Methods: This study was conducted across three teaching hospitals in Kerman province located in South East of Iran. Using convenience sampling, all registered nurses were invited to participate in the study. Data were collected between January and March 2014 using the attitude questionnaire on family presence during resuscitation. Results: Of 303 nurses, 92.5% were women. The mean attitude score of nurses was 50.99 ±7.12. The main perceived barriers to family presence during resuscitation by Iranian nurses were increased stress and anxiety among CPR team members, traumatic experience for the family members, difficulty around stopping CPR in fut...
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Background: The presence of family during resuscitation attempts provides moral and religious support for the patient. It also strengthens the relationship between the family and the health care team, as well as the patients. However, the implementation of this practice remains unclear. Purpose: This study aimed to explore the nurses' perception and their self-confidence in relation to family presence during resuscitation in Indonesia, in order to adapt the Indonesian version of the Family Presence Risk-Benefit Scale and Family Presence Self-Confidence Scale tools. Methods: The study was cross-sectional, using the Indonesian version of the Family Presence Risk-Benefit Scale and Family Presence Self-Confidence Scale tools. Results: 174 nurses working in the intensive care/intensive cardiac care unit and emergency room at a tertiary referral hospital in Riau Province of Indonesia completed the questionnaire, including the opinion-based questions. Our respondents had neither positive nor negative perceptions of family presence during resuscitation (mean score 3.37; SD 1.00). The Pearson r correlation test showed that nurses who perceived more benefits of this practice are more confident when it comes to implementing it (r = 0.618; P-value 0.000). We found that the only demographic factor determining the nurses' attitudes toward family-witnessed resuscitation was the number of times they had been involved in a resuscitation scenario. Conclusions: A high self-confidence score in implementing family-witnessed resuscitation was found among our respondents. In fact, most of them had invited family members to witness the resuscitation attempt. However, the nurses had a neutral attitude toward family presence during resuscitation. This study also suggests that nurses will likely support this practice when other doctors also support it.
Understanding healthcare professionals perceptions of family presence during resuscitation (FPDR) may help in choosing an effective strategy of implementing this concept in everyday clinical practice. Objectives: To determine the experiences and views of Polish nurses about family witnessed resuscitation. Design: A cross sectional survey study. Setting: Delegates (n = 720) attending the Polish Association of Anaesthesia and Intensive Care Nurses conference participated in the study. A total of 240 questionnaires were correctly completed and returned. Main Outcome Measures: Validation of the Polish version of the tool was undertaken. Exploratory factor analysis extracted three main factors: staff opinions on the benefits of FPDR (a-Cronbach 0.86), opinions on the negative effects (a-Cronbach 0.74) and general views on this practice (a-Cronbach 0.54). These three extracted factors were defined as dependent variables. Results: Out of the sample, 113 (47%) nurses worked in adult intensive care units (ICUs) and 127 (53%) in other acute clinical settings. ICU nurses reported having experiences of FPDR (n = 66, 54%); out of this group 12 (10%) had positive encounters and 46 (38%) reported negative ones. ICU nurses had undeter-mined opinions on the benefits and potential negative effects of FPDR. Having positive experiences with FPDR influenced ICU nurses' views on the negative effects of FPDR (Z = À2.16, p < 0.03). Conclusion: A positive experience of FPDR influences a nurse's views and attitudes in this evolving area of practice. The process of changing attitudes towards family presence during resuscitation requires positive work environments where positive experiences would be acquired by health care professionals. Evidence supports that introducing educational strategies and building healthcare professionals' self-confidence are important factors influencing opinions and attitudes towards family presence during ressuscitation. The results of this study suggest that there is a need for a widespread professional debate on in Poland in order to reassure health care professionals.
The Open Ethics Journal, 2008
Introduction: Whether to allow family presence or not is the subject of sharp controversy among health care professionals. The factors which the professional literature shows influence support for the idea are type of job, seniority, social pressure at the workplace, training, cultural background and the degree of invasiveness of the procedure. The researchers thought that emergency nurses' own attitudes on the issue of family presence, together with their own perceived behavioral control, and the susceptibility of these factors to peer and family pressure, could affect their wish and intent to encourage family presence.
Family presence during CPR: A study of the experiences and opinions of Turkish critical care nurses
International Journal of Nursing Studies, 2007
The concern over family witnessed cardiopulmonary resuscitation has been a frequent topic of debate in many countries. Objectives: The aim of this descriptive study is determine the experiences and opinions of Turkish critical care nurses about family presence during cardiopulmonary resuscitation and to bring this topic into the critical care and the public limelight in Turkey. Methods: Study population consisted of critical care nursing staff at four hospitals affiliated with the Ministry of Health, three hospitals affiliated with universities and three hospitals affiliated with Social Security Agency Hospitals. A total of 409 eligible critical care nurses were surveyed using a questionnaire which is consisted of 43 items under 3 areas of inquiry. Results: None of the hospitals that participated in this study had a protocol or policy regarding family witnessed resuscitation. More than half of the sample population had no experience of family presence during cardiopulmonary resuscitation and none of the respondents had ever invited family members to the resuscitation room. A majority of the nurses did not agree that it was necessary for family members to be with their patient and did not want family members in resuscitation room. In addition, most of the nurses were concerned about the violation of patient confidentiality, had concerns that untrained family members would not understand CPR treatments, would consider them offensive and thereby argue with the resuscitation team. The nurses expressed their concern that witnessing resuscitation would cause long lasting adverse emotional effects on the family members. Conclusion: This study reveals that critical care nurses in Turkey are not familiar with the concept of family presence during cardiopulmonary resuscitation. In view of the increasing evidence from international studies about the value of family presence during cardiopulmonary resuscitation we recommend educational program about this issue and policy changes are required within the hospitals to enhance critical care in Turkey. r
Background: Objectives: this study was conducted to determine the impact of family presence during resuscitation and to determine attitude of health care practitioner toward family presence during resuscitation. Methods: This study conducted at Prince Sultan military medical city, King Khalid university hospital and King Saud medical city in Riyadh Saudi Arabia. A cross sectional descriptive study to find out effect of presence of relatives during CPR on health care providers and family members in Riyadh, Saudi Arabia.All health providers attending during adult CPR were included in the study. 360 HCP were interviewed using a questionnaire. (semi-structured interview). data analysis done by the use of SPSS program
Nurses' perceptions of family presence during resuscitation
American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2014
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. 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. 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. Nurses' self-confidence and perceived benefit of family presence were significantly related (r = 0.54; P < .0...
Critical care nurses' perceptions of family witnessed resuscitation in the Kingdom of Saudi Arabia
Africa Journal of Nursing and Midwifery, 2022
Resuscitation can be visually disturbing and stressful, even to the most experienced of clinical staff. Allowing family members to remain with patients during resuscitation efforts has sparked controversy among medical and nursing staff members. A quantitative descriptive study was conducted to describe the perceptions of critical care nurses of family witnessed resuscitation (FWR) and the factors contributing to these perceptions at one tertiary hospital in the Kingdom of Saudi Arabia (KSA). A non-probability convenience sample of 70 critical care nurses was used to collect data. The findings of the study revealed that the majority of critical care nurses were not in favour of FWR. These nurses believed that the process of witnessing a loved one being resuscitated would be traumatic for relatives, and increase possible litigation against medical and nursing personnel. The study recommended that a clear policy about FWR should be in place. Critical care training should include the t...
Jurnal Keperawatan Padjadjaran, 2021
The family presence during resuscitation (FPDR) has received wide support to be implemented in the ICU.Theimplementation of FPDR has positive impacts on family satisfaction. However, some of the nurses’ opinion stillnot agree on implementation of FPDR in ICU. This research therefore utilized phenomenological approach to gaindescriptive explanation regarding this phenomenon. The purpose of this study is to explore the nurse’s experiences in theimplementation of FPDR in the ICU. This research was conducted on the year 2020 and qualitative phenomenologicalapproach was utilized for this research. Ten (10) ICU nurses have participated in this study and in-depth interviewwas employed for data collection. Data analysis is conducted using Colaizzi. Result of this research areexplained in6 themes which describe the phenomenon of nurses’ experience onfamily presence during recusitation, as follows:(1) Decisions on family; (2) From burdened to selfconfident; (3) Families enhancing teamwork; (4...