2.50
Hdl Handle:
http://hdl.handle.net/10755/158380
Type:
Presentation
Title:
Well-established Emergency Practice Supports Family Presence During Resuscitation
Abstract:
Well-established Emergency Practice Supports Family Presence During Resuscitation
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Lowry, Elinar, PhD
P.I. Institution Name:The University of Chicago Medical Center
Title:The Center for Heart Failure Management
Contact Address:5841 South Maryland Avenue, Mailcode 2016, Chicago, IL, 60637, USA
Contact Telephone:773-834-1753
Co-Authors:E. Lowry, , The University of Chicago Medical Center, Chicago, IL;
Background: Continued controversy surrounding family presence (FP) at the bedside during resuscitation despite support from several professional healthcare organizations, has resulted in little FP research using data from hospitals with long term FP experience. Purpose: To describe the benefit and harm of FP to family members (FM), using perceptions of nurses who work in an emergency department (ED) with a well-established FP protocol. Method: A qualitative descriptive study was conducted in a large Mid-western community hospital ED with a written FP protocol since 1992. Using open-ended questions in face-to-face interviews, nurses were asked to describe their experience with FP during resuscitation events. Interviews were evaluated using conceptual content analysis. Initial coding was done using the concepts of benefit and harm. Categories were then developed based on inferences made between similar groups of words in the transcribed interviews. A code book and second coder insured reliability and validity. Results: Fourteen nurses were interviewed: mostly Caucasian (n=13), female (n=13), mean age of 39.6 years, at least 10 years' nursing experience (n=9), less than 10 years' experience in the ED study site (n=9). Ten nurses estimated FP at 75% of all resuscitations in their ED. The researcher and second coder achieved 80% accuracy by comparing each other's work. New findings of FP benefit included the categories 'family sees evolving events' which described the FM ability to see a loved one's condition changed over time and 'validation of effort', describing how FM appreciation that everything was done increased nurses' confidence that they did everything they could during the resuscitation event. Other categories describing benefits were 'family as team member' and 'FM saw everything done' for a loved one. No categories emerged to describe actual harm to FM during FP, only nurses speculating harm. Conclusion: In a hospital emergency department with long term FP experience, nurses describe two previously unreported benefits of FP during resuscitation but no evidence of actual harm. Over time, FP can be well-accepted by nurses. FP can be adopted with greater confidence as a standard of practice by other institutions and acute care settings.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleWell-established Emergency Practice Supports Family Presence During Resuscitationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158380-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Well-established Emergency Practice Supports Family Presence During Resuscitation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lowry, Elinar, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of Chicago Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">The Center for Heart Failure Management</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">5841 South Maryland Avenue, Mailcode 2016, Chicago, IL, 60637, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">773-834-1753</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">elinar.lowry@uchospitals.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">E. Lowry, , The University of Chicago Medical Center, Chicago, IL;</td></tr><tr><td colspan="2" class="item-abstract">Background: Continued controversy surrounding family presence (FP) at the bedside during resuscitation despite support from several professional healthcare organizations, has resulted in little FP research using data from hospitals with long term FP experience. Purpose: To describe the benefit and harm of FP to family members (FM), using perceptions of nurses who work in an emergency department (ED) with a well-established FP protocol. Method: A qualitative descriptive study was conducted in a large Mid-western community hospital ED with a written FP protocol since 1992. Using open-ended questions in face-to-face interviews, nurses were asked to describe their experience with FP during resuscitation events. Interviews were evaluated using conceptual content analysis. Initial coding was done using the concepts of benefit and harm. Categories were then developed based on inferences made between similar groups of words in the transcribed interviews. A code book and second coder insured reliability and validity. Results: Fourteen nurses were interviewed: mostly Caucasian (n=13), female (n=13), mean age of 39.6 years, at least 10 years' nursing experience (n=9), less than 10 years' experience in the ED study site (n=9). Ten nurses estimated FP at 75% of all resuscitations in their ED. The researcher and second coder achieved 80% accuracy by comparing each other's work. New findings of FP benefit included the categories 'family sees evolving events' which described the FM ability to see a loved one's condition changed over time and 'validation of effort', describing how FM appreciation that everything was done increased nurses' confidence that they did everything they could during the resuscitation event. Other categories describing benefits were 'family as team member' and 'FM saw everything done' for a loved one. No categories emerged to describe actual harm to FM during FP, only nurses speculating harm. Conclusion: In a hospital emergency department with long term FP experience, nurses describe two previously unreported benefits of FP during resuscitation but no evidence of actual harm. Over time, FP can be well-accepted by nurses. FP can be adopted with greater confidence as a standard of practice by other institutions and acute care settings.</td></tr></table>en_GB
dc.date.available2011-10-26T20:59:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:59:33Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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