2.50
Hdl Handle:
http://hdl.handle.net/10755/335422
Category:
Full-text
Type:
Presentation
Title:
Mixed Methods: Ideal for Research in the Emergency Department
Other Titles:
Global Research in the Acute Care Setting
Author(s):
Porter, Joanne
Lead Author STTI Affiliation:
Non-member
Author Details:
Joanne Porter, PhD, MN, GradDipHSM, GradDipCC, GradCertHEd, BN, RN, joanne.porter@monash.edu
Abstract:
Session presented on Friday, July 25, 2014: Purpose: The aim of this paper is to report the findings from a Mixed Methods PhD study which incorporated a two phase approach to investigating the implementation and practice of family presence during resuscitation (FPDR) in the emergency department. The practice of allowing family to be present during resuscitation has been debated among clinicians working in emergency departments since the early 1980's. There remains cause for further investigation with evidence that the practice and implementation of FPDR continues to remain inconsistent. FPDR in both adult and paediatric resuscitations was formally endorsed in the year 2000 by leading Emergency Associations and Resuscitation Councils 1 who were responsible for releasing practice guidelines. This study aimed to investigate the implementation and practice of FPDR with the objective of identifying the benefits, barriers and enablers 2, evaluating the role of the family support person, and assessing the level of education and training in rural and metropolitan emergency departments, in Victoria, Australia. Methods: A mixed methods sequential explanatory design was utilized to investigate the extent to which FPDR is implemented and practiced. Phase One disseminated a quantitative questionnaire to ascertain the extent to which emergency personnel endorsed and supported FPDR practice and to explore current training and education. The survey was divided into 5 key interest areas including: demographic data, qualifications, resuscitation team, family presence, personnel attitudes, and training and education. Phase Two incorporated a total of four weeks, in two Victorian, emergency departments, observing adult and paediatric resuscitations. Qualitative data collection tools included a combination of observation field notes, semi-structured audiotaped interviews and resuscitation template notes. Results: A total of 347 questionnaires were included in the final data set with a 27% response rate representing emergency personnel from rural and metropolitan emergency departments in Victoria, Australia. Descriptive and inferential statistics were used to describe the population followed by a factor analysis of the 26 statements on FPDR. A total of 65 doctors and 282 nurses completed the questionnaire, with a mean age of 37.2 years and a mean of 7.8 years working emergency care. The doctors (77%, n=50) and nurses (79%, n=222) believed that family had a right to be present during resuscitation events and that it helped with the grieving process (54% of doctors and 62% of nurses). The staff greatly agreed that a designated support person was essential when allowing family to be present (89% of doctors and 92% of nurses) 3. Following a content analysis of the open ended responses the acronym ER-DRIP was developed which helped to define the essential information that family required during a resuscitation event 4. The acronym stands for E-emergency personnel, R-reassurance, D-diagnosis, R-regular updates, P-prognosis. During the observations in Phase Two of the study a total of 29 interviews were conducted together with observation of six rural and 18 metropolitan resuscitations. The interviews were audiotaped and later transcribed for analysis. A content analysis was conducted and six major themes emerged including; the importance of the care coordinator, balance of power, delivering bad news, life experience generates confidence, allocating roles and family centre care in action. Conclusion: In order to investigate complex emergency issues such as FPDR a Mixed Methods approach was essential and yielded a rich data set that lead to the development of a number of future recommendations in training and education, practice and implementation of FPDR in both adult and paediatric resuscitations.
Keywords:
Emergency; Mixed methods; Resuscitation
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Other Identifiers:
INRC14B09
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleMixed Methods: Ideal for Research in the Emergency Departmenten
dc.title.alternativeGlobal Research in the Acute Care Settingen
dc.contributor.authorPorter, Joanneen
dc.contributor.departmentNon-memberen
dc.author.detailsJoanne Porter, PhD, MN, GradDipHSM, GradDipCC, GradCertHEd, BN, RN, joanne.porter@monash.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335422-
dc.description.abstractSession presented on Friday, July 25, 2014: Purpose: The aim of this paper is to report the findings from a Mixed Methods PhD study which incorporated a two phase approach to investigating the implementation and practice of family presence during resuscitation (FPDR) in the emergency department. The practice of allowing family to be present during resuscitation has been debated among clinicians working in emergency departments since the early 1980's. There remains cause for further investigation with evidence that the practice and implementation of FPDR continues to remain inconsistent. FPDR in both adult and paediatric resuscitations was formally endorsed in the year 2000 by leading Emergency Associations and Resuscitation Councils 1 who were responsible for releasing practice guidelines. This study aimed to investigate the implementation and practice of FPDR with the objective of identifying the benefits, barriers and enablers 2, evaluating the role of the family support person, and assessing the level of education and training in rural and metropolitan emergency departments, in Victoria, Australia. Methods: A mixed methods sequential explanatory design was utilized to investigate the extent to which FPDR is implemented and practiced. Phase One disseminated a quantitative questionnaire to ascertain the extent to which emergency personnel endorsed and supported FPDR practice and to explore current training and education. The survey was divided into 5 key interest areas including: demographic data, qualifications, resuscitation team, family presence, personnel attitudes, and training and education. Phase Two incorporated a total of four weeks, in two Victorian, emergency departments, observing adult and paediatric resuscitations. Qualitative data collection tools included a combination of observation field notes, semi-structured audiotaped interviews and resuscitation template notes. Results: A total of 347 questionnaires were included in the final data set with a 27% response rate representing emergency personnel from rural and metropolitan emergency departments in Victoria, Australia. Descriptive and inferential statistics were used to describe the population followed by a factor analysis of the 26 statements on FPDR. A total of 65 doctors and 282 nurses completed the questionnaire, with a mean age of 37.2 years and a mean of 7.8 years working emergency care. The doctors (77%, n=50) and nurses (79%, n=222) believed that family had a right to be present during resuscitation events and that it helped with the grieving process (54% of doctors and 62% of nurses). The staff greatly agreed that a designated support person was essential when allowing family to be present (89% of doctors and 92% of nurses) 3. Following a content analysis of the open ended responses the acronym ER-DRIP was developed which helped to define the essential information that family required during a resuscitation event 4. The acronym stands for E-emergency personnel, R-reassurance, D-diagnosis, R-regular updates, P-prognosis. During the observations in Phase Two of the study a total of 29 interviews were conducted together with observation of six rural and 18 metropolitan resuscitations. The interviews were audiotaped and later transcribed for analysis. A content analysis was conducted and six major themes emerged including; the importance of the care coordinator, balance of power, delivering bad news, life experience generates confidence, allocating roles and family centre care in action. Conclusion: In order to investigate complex emergency issues such as FPDR a Mixed Methods approach was essential and yielded a rich data set that lead to the development of a number of future recommendations in training and education, practice and implementation of FPDR in both adult and paediatric resuscitations.en
dc.subjectEmergencyen
dc.subjectMixed methodsen
dc.subjectResuscitationen
dc.date.available2014-11-17T13:52:05Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:52:05Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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