A European survey of critical care nurses’ attitudes and experiences of having family members present during cardiopulmonary resuscitation

2005 ◽  
Vol 42 (5) ◽  
pp. 557-568 ◽  
Author(s):  
P Fulbrook ◽  
J.W. Albarran ◽  
J.M. Latour
Keyword(s):  
Critical Care ◽  
Cardiopulmonary Resuscitation ◽  
Family Members ◽  
Critical Care Nurses ◽  
European Survey

Family Presence During Cardiopulmonary Resuscitation and Invasive Procedures: Practices of Critical Care and Emergency Nurses

2003 ◽  
Vol 12 (3) ◽  
pp. 246-257 ◽  
Author(s):  
Susan L. MacLean ◽  
Cathie E. Guzzetta ◽  
Cheri White ◽  
Dorrie Fontaine ◽  
Dezra J. Eichhorn ◽  
...  
Keyword(s):  
Critical Care ◽  
Cardiopulmonary Resuscitation ◽  
American Association ◽  
Family Members ◽  
Invasive Procedure ◽  
Critical Care Nurses ◽  
Invasive Procedures ◽  
Emergency Nurses ◽  
Family Presence ◽  
Do So

• Background Increasingly, patients’ families are remaining with them during cardiopulmonary resuscitation and invasive procedures, but this practice remains controversial and little is known about the practices of critical care and emergency nurses related to family presence. • Objective To identify the policies, preferences, and practices of critical care and emergency nurses for having patients’ families present during resuscitation and invasive procedures. • Methods A 30-item survey was mailed to a random sample of 1500 members of the American Association of Critical-Care Nurses and 1500 members of the Emergency Nurses Association. • Results Among the 984 respondents, 5% worked on units with written policies allowing family presence during both resuscitation and invasive procedures and 45% and 51%, respectively, worked on units that allowed it without written policies during resuscitation or during invasive procedures. Some respondents preferred written policies allowing family presence (37% for resuscitation, 35% for invasive procedures), whereas others preferred unwritten policies allowing it (39% for resuscitation, 41% for invasive procedures). Many respondents had taken family members to the bedside (36% for resuscitation, 44% for invasive procedure) or would do so in the future (21% for resuscitation, 18% for invasive procedures), and family members often asked to be present (31% for resuscitation, 61% for invasive procedures). • Conclusions Nearly all respondents have no written policies for family presence yet most have done (or would do) it, prefer it be allowed, and are confronted with requests from family members to be present. Written policies or guidelines for family presence during resuscitation and invasive procedures are recommended.

Thrombotic thrombocytopenic purpura: pathophysiology, treatment, and related nursing care

1995 ◽  
Vol 15 (6) ◽  
pp. 44-52
Author(s):  
M Kajs-Wyllie
Keyword(s):  
Critical Care ◽  
Thrombotic Thrombocytopenic Purpura ◽  
Nursing Care ◽  
Critical Care Unit ◽  
Family Members ◽  
Vital Role ◽  
Critical Care Nurses ◽  
Thrombocytopenic Purpura ◽  
Rare Syndrome ◽  
Life Threatening

The patient diagnosed with TTP presents to the critical care unit with myriad life-threatening problems. Knowledge of the pathophysiology and treatment of this rare syndrome is essential to plan care appropriately. However, despite immediate diagnosis and intervention, the outcome may not be successful. Critical care nurses play a vital role in caring for these patients, as well as helping family members deal with this devastating disease.

Diacritics: An Important Strategy for Proper Validation of the Arabic Version of the Critical Care Family Needs Inventory (CCFNI)

2021 ◽  
pp. JNM-D-20-00004
Author(s):  
Wesam T. Almagharbeh ◽  
Mohammad A. Al-Motlaq
Keyword(s):  
Critical Care ◽  
Content Validity ◽  
Discriminant Validity ◽  
Family Members ◽  
Internal Consistency Reliability ◽  
Critical Care Nurses ◽  
Arabic Version ◽  
Family Needs ◽  
Reliable Measure ◽  
Care Family

PurposeTo validate the Arabic version of the Critical Care Family Needs Inventory (CCFNI) instrument.Methodsa jury of experts helped establish content validity of besttranslated version. Live testing of the revised instrument with a sample of nurses and family members helped ensure its validity and internal consistency reliability.ResultsThe Content Validity Index indicated an acceptable relevancy and clarity of the translated version. After introducing diacritic to wordings, clarity and readability were ensured by a pilot test with a sample of 22 critical care nurses and 21 family members. Live testing the instrument asserted its discriminant validity where family members (n = 227) ranked total needs higher than nurses (n = 217) (t = 124.2 (df = 442), p < .001).ConclusionAfter using of diacritics, the new modified Arabic version can be used confidently as a valid and reliable measure of family needs.

Consenting to DNR: critical care nurses' interactions with patients and family members

1993 ◽  
Vol 2 (4) ◽  
pp. 302-309 ◽  
Author(s):  
MA Jezewski ◽  
Y Scherer ◽  
C Miller ◽  
E Battista
Keyword(s):  
Critical Care ◽  
Family Members ◽  
Critical Care Nurses ◽  
Do Not Resuscitate ◽  
Decision Method ◽  
Grounded Theory Method ◽  
Core Category ◽  
Novice Nurses ◽  
Analyze Data

OBJECTIVE: To investigate the process of consenting to do-not-resuscitate status from the perspective of critical care nurses who have been involved with patients and/or family members during their decision. METHOD: A network sample of 22 critical care nurses, with at least 1 year's experience in a critical care unit and self-reported multiple experiences with the do-not-resuscitate consent process, participated in the study. Semistructured, formal interviews were used to collect data. All interviews were tape recorded and transcribed verbatim. The grounded theory method was used to collect and analyze data. RESULTS: The analysis revealed a core category: consenting to do-not-resuscitate status. Integrated into the process were intervening conditions that further explained the process: the meaning of "do not resuscitate," the importance of time/timing in the process, the nurse's role and conflict issues that arose during the process of consenting to do-not-resuscitate status. CONCLUSIONS: The theoretical model developed in this study provides a framework to describe the role of critical care nurses in the do-not-resuscitate process. In addition, a description of the categories provides information for nurses, especially novice nurses, to consider when caring for patients and families who are in the process of making decisions concerning resuscitation.

scholarly journals Providing End-of-Life Care to Patients: Critical Care Nurses’ Perceived Obstacles and Supportive Behaviors

2005 ◽  
Vol 14 (5) ◽  
pp. 395-403 ◽  
Author(s):  
Renea L. Beckstrand ◽  
Karin T. Kirchhoff
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Family Members ◽  
Critical Care Nurses ◽  
Control Group ◽  
Life Care ◽  
Supportive Behaviors

• Background Critical care nurses care for dying patients daily. The process of dying in an intensive care unit is complicated, and research on specific obstacles that impede delivery of end-of-life care and/or supportive behaviors that help in delivery of end-of-life care is limited. • Objective To measure critical care nurses’ perceptions of the intensity and frequency of occurrence of (1) obstacles to providing end-of-life care and (2) supportive behaviors that help in providing end-of-life care in the intensive care unit. • Methods An experimental, posttest-only, control-group design was used. A national, geographically dispersed, random sample of members of the American Association of Critical-Care Nurses was surveyed. • Results The response rate was 61.3%, 864 usable responses from 1409 eligible respondents. The highest scoring obstacles were frequent telephone calls from patients’ family members for information, patients’ families who did not understand the term lifesaving measures, and physicians disagreeing about the direction of a dying patient’s care. The highest scoring supportive behaviors were allowing patients’ family members adequate time alone with patients after death, providing peaceful and dignified bedside scenes after death, and teaching patients’ families how to act around a dying patient. • Conclusions The biggest obstacles to appropriate end-of-life care in the intensive care unit are behaviors of patients’ families that remove nurses from caring for patients, behaviors that prolong patients’ suffering or cause patients pain, and physicians’ disagreement about the plan of care.

scholarly journals Describing Family Needs within Adult Critical Care Units at a Military Hospital in Jeddah, Saudi Arabia

2017 ◽  
Vol 2 (2) ◽  
pp. 44
Author(s):  
Jennifer De Beer ◽  
Hend Alnajjar
Keyword(s):  
Saudi Arabia ◽  
Critical Care ◽  
Health Care Professionals ◽  
Family Members ◽  
Critical Care Nurses ◽  
Military Hospital ◽  
Family Needs ◽  
Loved One ◽  
Critical Care Units ◽  
Important Family

Background: Family members have traumatic experiences when a loved one is admitted into critical care units as they are not psychological prepared for the sudden illness of a loved one. Attending to the needs of family members of critically ill patients is vital in providing appropriate holistic care for both the patient and the family.Methods: A cross sectional descriptive quantitative research design was used. The study was conducted in a military hospital in Jeddah, Saudi Arabia, within 10 critical care units. A total of 25 doctors, 66 critical care nurses and 38 family members were included in the study. Data was collected using the Critical Care Family Needs Inventory (CCFNI), a Likert tool developed by Jane Leske which has established reliability of 0.80-0.97.Findings: The most important need as perceived by doctors was “the “need to know the expected outcome’ regarding the patient’s condition, M= 3.72 (SD = 0.54), while critical care nurses’ perceived the most important family need as “To have explanations of the environment before going into the critical care unit for the first time, M= 3.65 (SD= 0.54). Further to this, family members’ perceived “To be assured that the best care possible is being given to the patient” as the most important family need M= 3.76 (SD= 0.54).Conclusion: Health care professionals have a responsibility towards meeting these needs in order to provide care that is holistic in nature that encompasses the basic tenets of patient-family centered care.

Sign in / Sign up

Export Citation Format

Share Document