An Evidence-based Approach to Family Presence for Children in the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/162401
Type:
Presentation
Title:
An Evidence-based Approach to Family Presence for Children in the Emergency Department
Abstract:
An Evidence-based Approach to Family Presence for Children in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Renaker, Anne, DNP, RN, CNS-BC
P.I. Institution Name:University of Minnesota Amplatz ChildrenÆs Hospital
Title:Advanced Practice Nursing Leader, Pediatric Emergency Services
Contact Address:500 Harvard St., Minneapolis, MN, 55455, USA
Contact Telephone:612-273-7090
[ENA Annual Conference - Evidence-based Practice Presentation]

Purpose: Implementation of evidence-based guidelines for family presence demonstrates improved medical decision-making, communication among providers, and communication with family members. The project implemented and evaluated a family presence program for children promoting high quality safe patient care. The Emergency Nurses Association (ENA) guideline, Presenting the Option for Family Presence, provided an organized and systematic approach to developing the program.
Project Objectives: (1) Development and approval of an ED policy that supports family presence (FP) during all aspects of pediatric care and (2) Development and delivery of a multidisciplinary education program on family presence during critical events.

Design: The pilot project developed and implemented a family presence policy and a multidisciplinary family presence education program. Staff completed the education in addition to a validated survey on family presence. Data were collected on ED length of stay and compared to previously collected baseline data.

Setting: The setting for this project was the ED of an academic medical center located in the Midwest. The setting provides services to children and families requiring emergency care for a wide variety of illnesses or injuries such as complications related to transplantation, congenital heart disease, metabolic disorders, ear pain and asthma, as well as traumatic injuries.

Participants/Subjects: Sixty five staff members participated in the family presence education and completed the ENA Healthcare Providers Attitudes and Beliefs Toward Family Presence survey. Staff represented Chaplains, Child Family Life, Nurses, and Security. Upon IRB review the study was exempt from review under federal guidelines.

Methods: A multidisciplinary project team developed the family presence policy for the pilot. As part of the policy, the team created the concept of the family presence support team (FPST), staff members who are assigned to support the psychosocial needs of the family. The FPST members became known as "family guides." The ENA Health Care Providers Attitudes and Beliefs Toward Family Presence survey was collected prior to project implementation and one month following project completion The ENA survey with its 5-point Likert scale associates numbers corresponding to responses of strongly disagree to strongly agree to statements on family presence. During the pilot, data were collected on ED length of stay and compared to previously collected baseline data.

Results and Outcomes:
Staff Attitude and Belief Survey: Following the five-month pilot, RNs reported increased support for the FP program.
Emergency Department Length of Stay: The ED length of stay (LOS) data was compared to data collected on pediatric ED critical events from September 2007 through September 2008. Upon evaluation FP did not increase length of stay in the ED. The pilot project evaluated only four cases and therefore it is not possible to determine any statistical significance.

Implications: Within a PFCC environment, the staff of an academic medical center succeeded in implementing a model of care incorporating family presence for children to deliver high quality safe patient care. Next steps include evaluation of missed opportunities to embed family presence throughout the setting of the medical center.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Evidence-based Approach to Family Presence for Children in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162401-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Evidence-based Approach to Family Presence for Children in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</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">Renaker, Anne, DNP, RN, CNS-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Minnesota Amplatz Children&AElig;s Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Advanced Practice Nursing Leader, Pediatric Emergency Services</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">500 Harvard St., Minneapolis, MN, 55455, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">612-273-7090</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">arenake1@fairivew.org</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation] <br/><br/>Purpose: Implementation of evidence-based guidelines for family presence demonstrates improved medical decision-making, communication among providers, and communication with family members. The project implemented and evaluated a family presence program for children promoting high quality safe patient care. The Emergency Nurses Association (ENA) guideline, Presenting the Option for Family Presence, provided an organized and systematic approach to developing the program. <br/>Project Objectives: (1) Development and approval of an ED policy that supports family presence (FP) during all aspects of pediatric care and (2) Development and delivery of a multidisciplinary education program on family presence during critical events. <br/><br/>Design: The pilot project developed and implemented a family presence policy and a multidisciplinary family presence education program. Staff completed the education in addition to a validated survey on family presence. Data were collected on ED length of stay and compared to previously collected baseline data. <br/><br/>Setting: The setting for this project was the ED of an academic medical center located in the Midwest. The setting provides services to children and families requiring emergency care for a wide variety of illnesses or injuries such as complications related to transplantation, congenital heart disease, metabolic disorders, ear pain and asthma, as well as traumatic injuries. <br/><br/>Participants/Subjects: Sixty five staff members participated in the family presence education and completed the ENA Healthcare Providers Attitudes and Beliefs Toward Family Presence survey. Staff represented Chaplains, Child Family Life, Nurses, and Security. Upon IRB review the study was exempt from review under federal guidelines.<br/><br/>Methods: A multidisciplinary project team developed the family presence policy for the pilot. As part of the policy, the team created the concept of the family presence support team (FPST), staff members who are assigned to support the psychosocial needs of the family. The FPST members became known as &quot;family guides.&quot; The ENA Health Care Providers Attitudes and Beliefs Toward Family Presence survey was collected prior to project implementation and one month following project completion The ENA survey with its 5-point Likert scale associates numbers corresponding to responses of strongly disagree to strongly agree to statements on family presence. During the pilot, data were collected on ED length of stay and compared to previously collected baseline data. <br/><br/>Results and Outcomes:<br/>Staff Attitude and Belief Survey: Following the five-month pilot, RNs reported increased support for the FP program. <br/>Emergency Department Length of Stay: The ED length of stay (LOS) data was compared to data collected on pediatric ED critical events from September 2007 through September 2008. Upon evaluation FP did not increase length of stay in the ED. The pilot project evaluated only four cases and therefore it is not possible to determine any statistical significance.<br/><br/>Implications: Within a PFCC environment, the staff of an academic medical center succeeded in implementing a model of care incorporating family presence for children to deliver high quality safe patient care. Next steps include evaluation of missed opportunities to embed family presence throughout the setting of the medical center. <br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:27:35Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:35Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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