Attitudes and Beliefs of Emergency Department Staff Regarding Family Presence for Medical Resuscitations

2.50
Hdl Handle:
http://hdl.handle.net/10755/155751
Type:
Presentation
Title:
Attitudes and Beliefs of Emergency Department Staff Regarding Family Presence for Medical Resuscitations
Abstract:
Attitudes and Beliefs of Emergency Department Staff Regarding Family Presence for Medical Resuscitations
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Nykiel, Lyndsey A., RN
P.I. Institution Name:Barnes Jewish Hospital
Title:Staff Nurse
[Research Paper or Poster Presentation] Purpose: The purpose of the study is to explore staff attitudes and beliefs regarding Family Presence (FP) during medical resuscitations in the emergency department. Background/Significance: FP began in the 1980's. Current research shows multiple benefits: increased rapport with the treatment time, decreased sense of exclusion from the loved one, and improved professionalism by the treatment team. Methods: The Evidence Based Practice work team at Barnes-Jewish Hospital reviewed current position statements and literature about FP. Information was provided supporting FP to nursing and physician leadership, developed consensus, created a FP protocol specific to our department and obtained IRB approval to conduct a pre-post survey of staff regarding FP. Following collection of the pre-implementation survey from all staff, two months were dedicated to in-servicing on the FP protocol. A post implementation survey was distributed to all staff in the E.D. to determine if changes in attitudes had occurred due to the education and practice implementation. Results: The team had 150 surveys returned for the pre-implementation survey and 113 from the post implementation survey. Staff reported having worked with FP at the bedside during resuscitation 44% in the pre-survey and 51% post survey. Staff reported they would want their family present during their resuscitation (82% pre, 87% post) and would want to be present for family members during their resuscitation (62% pre, 76% post). No changes in reported frequency of family interference with the treatment team (34% pre, 33% post). Narrative responses indicated these situations occurred prior to formal department implementation when no coach was present. Conclusion: The majority of respondents support the option of facilitated FP. Concerns that family could interfere with the treatment team were identified but staff reported these instances occurred if the family was not provided a supportive staff member as a coach.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAttitudes and Beliefs of Emergency Department Staff Regarding Family Presence for Medical Resuscitationsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155751-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Attitudes and Beliefs of Emergency Department Staff Regarding Family Presence for Medical Resuscitations</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Nykiel, Lyndsey A., RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Barnes Jewish Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lan9812@bjc.org</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Purpose: The purpose of the study is to explore staff attitudes and beliefs regarding Family Presence (FP) during medical resuscitations in the emergency department. Background/Significance: FP began in the 1980's. Current research shows multiple benefits: increased rapport with the treatment time, decreased sense of exclusion from the loved one, and improved professionalism by the treatment team. Methods: The Evidence Based Practice work team at Barnes-Jewish Hospital reviewed current position statements and literature about FP. Information was provided supporting FP to nursing and physician leadership, developed consensus, created a FP protocol specific to our department and obtained IRB approval to conduct a pre-post survey of staff regarding FP. Following collection of the pre-implementation survey from all staff, two months were dedicated to in-servicing on the FP protocol. A post implementation survey was distributed to all staff in the E.D. to determine if changes in attitudes had occurred due to the education and practice implementation. Results: The team had 150 surveys returned for the pre-implementation survey and 113 from the post implementation survey. Staff reported having worked with FP at the bedside during resuscitation 44% in the pre-survey and 51% post survey. Staff reported they would want their family present during their resuscitation (82% pre, 87% post) and would want to be present for family members during their resuscitation (62% pre, 76% post). No changes in reported frequency of family interference with the treatment team (34% pre, 33% post). Narrative responses indicated these situations occurred prior to formal department implementation when no coach was present. Conclusion: The majority of respondents support the option of facilitated FP. Concerns that family could interfere with the treatment team were identified but staff reported these instances occurred if the family was not provided a supportive staff member as a coach.</td></tr></table>en_GB
dc.date.available2011-10-26T14:08:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:08:26Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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