2.50
Hdl Handle:
http://hdl.handle.net/10755/157580
Type:
Presentation
Title:
Healthcare Provider Evaluation of Family Presence During Resuscitation
Abstract:
Healthcare Provider Evaluation of Family Presence During Resuscitation
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Oman, Kathleen S., RN, PhD, CEN, FAEN
P.I. Institution Name:University of Colorado Hospital; University of Colorado Denver College of Nursing, Professional Resources
Title:Research Nurse Scientist
Contact Address:12401 E. 17th Ave., Leprino Buliding Room 635 PO Box 6510, Aurora, CO, 80045, USA
Contact Telephone:720-848-6656
Co-Authors:Christine R. Duran, DNP, RN, ACNS-BC, Assistant Professor
Purpose/Aims: The purpose of this study was to evaluate family presence at resuscitations at an academic medical center in the western U.S.  The specific aims of this study were to: 1.Determine the frequency that family members are present during resuscitations, and 2. Examine the health care providers' experiences with family presence during resuscitations. Rationale/Conceptual Basis/Background: The benefits of family presence (FP) during resuscitation are well documented in the literature and it is becoming an accepted practice in many healthcare settings. There is sufficient evidence about healthcare provider's (HCP) and families? attitudes and beliefs about FP and little about the actual outcomes after family witnessed resuscitation. The holistic framework, one that preserves wholeness, dignity, and integrity of the family unit, guided this study. Methods: Design.  A descriptive survey study design was used to generate quantitative and narrative data. Setting.  Data were collected for a 12 month period from April 2007 - May 2008. Procedure. Code records were reviewed to determine when family members were present and to identify the healthcare providers involved in the code. Sample.  A convenience sample of nurses, attending physicians, resident/intern physicians, and respiratory therapists, who participated in resuscitations where family members were present, were invited by email to complete a brief electronic survey consisting of 7 scaled questions, including the opportunity to add narrative comments. Results: There were 106 codes during the study period. Family presence was documented on 31 (29%) records; in 24 (23%) records the family section of the form was incomplete. There were 174 healthcare providers who were listed on the code records, and 40 names (23%) were illegible or incomplete. The identifiable 134 HCPs were invited to complete the survey and 65 (49%) responded. Fifty five percent were RNs, 12% were resident/interns, respiratory therapists, or other (hospital managers and pulmonary fellows), and 8% were attending physicians. Respondents indicated that family members were able to emotionally tolerate the code situation (59%), did not interfere with the care being provided to the patient (88%). In addition, team communication was not negatively affected (88%).   Seventy percent agreed or strongly agreed that the family member benefited by being present during the code; benefit to the patient, as determined by the HCPs, was evenly split with 50% stating no benefit and 50% indicating positive benefit. A family facilitator was present at 70% of the codes and it was usually a RN (41%), chaplain (17%), nurse hospital manager (15%), physician (9%), social worker (4%), certified nursing assistant (2%), or a combination of people (11%).  Thirty narrative comments were summarized to reflect benefits and difficulties of having families present. Implications: These study findings demonstrate that having families present during codes does not negatively impact patient care, is perceived to benefit family members and that a dedicated family facilitator is an integral part of the process. Continued staff support and education is necessary to effectively implement a FP hospital guideline.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHealthcare Provider Evaluation of Family Presence During Resuscitationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157580-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Healthcare Provider Evaluation of Family Presence During Resuscitation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Oman, Kathleen S., RN, PhD, CEN, FAEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Colorado Hospital; University of Colorado Denver College of Nursing, Professional Resources</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Nurse Scientist</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">12401 E. 17th Ave., Leprino Buliding Room 635 PO Box 6510, Aurora, CO, 80045, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">720-848-6656</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kathy.oman@uch.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Christine R. Duran, DNP, RN, ACNS-BC, Assistant Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose/Aims: The purpose of this study was to evaluate family presence at resuscitations at an academic medical center in the western U.S.&nbsp; The specific aims of this study were to: 1.Determine the frequency that family members are present during resuscitations, and 2. Examine the health care providers' experiences with family presence during resuscitations. Rationale/Conceptual Basis/Background: The benefits of family presence (FP) during resuscitation are well documented in the literature and it is becoming an accepted practice in many healthcare settings. There is sufficient evidence about healthcare provider's (HCP) and families? attitudes and beliefs about FP and little about the actual outcomes after family witnessed resuscitation. The holistic framework, one that preserves wholeness, dignity, and integrity of the family unit, guided this study. Methods: Design.&nbsp; A descriptive survey study design was used to generate quantitative and narrative data. Setting.&nbsp; Data were collected for a 12 month period from April 2007 - May 2008. Procedure. Code records were reviewed to determine when family members were present and to identify the healthcare providers involved in the code. Sample.&nbsp; A convenience sample of nurses, attending physicians, resident/intern physicians, and respiratory therapists, who participated in resuscitations where family members were present, were invited by email to complete a brief electronic survey consisting of 7 scaled questions, including the opportunity to add narrative comments. Results: There were 106 codes during the study period. Family presence was documented on 31 (29%) records; in 24 (23%) records the family section of the form was incomplete. There were 174 healthcare providers who were listed on the code records, and 40 names (23%) were illegible or incomplete. The identifiable 134 HCPs were invited to complete the survey and 65 (49%) responded. Fifty five percent were RNs, 12% were resident/interns, respiratory therapists, or other (hospital managers and pulmonary fellows), and 8% were attending physicians. Respondents indicated that family members were able to emotionally tolerate the code situation (59%), did not interfere with the care being provided to the patient (88%). In addition, team communication was not negatively affected (88%).&nbsp;&nbsp; Seventy percent agreed or strongly agreed that the family member benefited by being present during the code; benefit to the patient, as determined by the HCPs, was evenly split with 50% stating no benefit and 50% indicating positive benefit. A family facilitator was present at 70% of the codes and it was usually a RN (41%), chaplain (17%), nurse hospital manager (15%), physician (9%), social worker (4%), certified nursing assistant (2%), or a combination of people (11%). &nbsp;Thirty narrative comments were summarized to reflect benefits and difficulties of having families present. Implications: These study findings demonstrate that having families present during codes does not negatively impact patient care, is perceived to benefit family members and that a dedicated family facilitator is an integral part of the process. Continued staff support and education is necessary to effectively implement a FP hospital guideline.</td></tr></table>en_GB
dc.date.available2011-10-26T20:00:14Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:00:14Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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