Original Research: Family Presence During Resuscitation: Medical–Surgical Nurses' Perceptions, Self-Confidence, and Use of Invitations

2020 ◽  
Vol 120 (11) ◽  
pp. 28-38
Author(s):  
Kelly Powers ◽  
Charlie L. Reeve
Keyword(s):  
Original Research ◽  
Family Presence ◽  
Self Confidence ◽  
Surgical Nurses ◽  
Nurses Perceptions

Nurses’ Perceptions of Their Self-confidence and the Benefits and Risks of Family Presence During Resuscitation

2008 ◽  
Vol 17 (2) ◽  
pp. 101-111 ◽  
Author(s):  
Renee Samples Twibell ◽  
Debra Siela ◽  
Cheryl Riwitis ◽  
Joe Wheatley ◽  
Tina Riegle ◽  
...  
Keyword(s):  
Conceptual Knowledge ◽  
Assessment Tools ◽  
Professional Organizations ◽  
Family Presence ◽  
Advantages And Disadvantages ◽  
Risks And Benefits ◽  
Self Confidence ◽  
Hospital Units ◽  
The Family ◽  
Nurses Perceptions

Background Debate continues among nurses about the advantages and disadvantages of family presence during resuscitation. Knowledge development about such family presence is constrained by the lack of reliable and valid instruments to measure key variables. Objectives To test 2 instruments used to measure nurses’ perceptions of family presence during resuscitation, to explore demographic variables and perceptions of nurses’ self-confidence and the risks and benefits related to such family presence in a broad sample of nurses from multiple hospital units, and to examine differences in perceptions of nurses who have and who have not invited family presence. Methods Nurses (n = 375) completed the Family Presence Risk-Benefit Scale and the Family Presence Self-confidence Scale. Results Nurses’ perceptions of benefits, risks, and self-confidence were significantly and strongly interrelated. Nurses who invited family presence during resuscitation were significantly more self-confident in managing it and perceived more benefits and fewer risks (P < .001). Perceptions of more benefits and fewer risks were related to membership in professional organizations, professional certification, and working in an emergency department (P < .001). Data supported initial reliability and construct validity for the 2 scales. Conclusions Nurses’ perceptions of the risks and benefits of family presence during resuscitation vary widely and are associated with how often the nurses invite family presence. After further testing, the 2 new scales may be suitable for measuring interventional outcomes, serve as self-assessment tools, and add to conceptual knowledge about family presence.

scholarly journals Nurses’ Perceptions of Family Presence during Resuscitation

2014 ◽  
Vol 23 (6) ◽  
pp. e88-e96 ◽  
Author(s):  
Kelly Tudor ◽  
Jill Berger ◽  
Barbara J. Polivka ◽  
Rachael Chlebowy ◽  
Beena Thomas
Keyword(s):  
Life Support ◽  
Family Members ◽  
Urban Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Family Presence ◽  
Convenience Sample ◽  
Self Confidence ◽  
The Family ◽  
Nurses Perceptions

Background Although strong evidence indicates that the presence of a patient’s family during resuscitation has a positive effect on the family, the practice is still controversial and is not consistently implemented. Objectives To explore nurses’ experience with resuscitation, perceptions of the benefits and risks of having a patient’s family members present, and self-confidence in having family presence at their workplace. Differences in demographic characteristics and relationships between nurses’ perceptions of self-confidence and perceived risks and benefits of family presence were evaluated. Methods The study was descriptive, with a cross-sectional survey design. A convenience sample of 154 nurses working in inpatient and outpatient units at an urban hospital were surveyed. The 63-item survey included 2 previously validated scales, demographic questions, and opinion questions. Results Nurses’ self-confidence and perceived benefit of family presence were significantly related (r = 0.54; P < .001). Self-confidence was significantly greater in nurses who had completed training in Advanced Cardiac Life Support, had experienced 10 or more resuscitation events, were specialty certified, or were members of nurses’ professional organizations. Barriers to family presence included fear of interference by the patient’s family, lack of space, lack of support for the family members, fear of trauma to family members, and performance anxiety. Conclusions Changing the practice of family presence will require strengthening current policy, identifying a team member to attend to the patient’s family during resuscitation, and requiring nurses to complete education on evidence that supports family presence and changes in clinical practice.

scholarly journals Medical-surgical nurses' perceived self-confidence and leadership abilities as first responders in acute patient deterioration events

2014 ◽  
Vol 23 (19-20) ◽  
pp. 2769-2778 ◽  
Author(s):  
Patricia L Hart ◽  
LeeAnna Spiva ◽  
Pamela Baio ◽  
Barbara Huff ◽  
Denice Whitfield ◽  
...  
Keyword(s):  
First Responders ◽  
Patient Deterioration ◽  
Self Confidence ◽  
Surgical Nurses ◽  
Acute Patient

scholarly journals Family Witnessed Resuscitation: Staff Opinion

2020 ◽  
Author(s):  
Eva de Mingo-Fernández ◽  
Ángel Belzunegui-Eraso ◽  
María Jiménez-Herrera
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Health Care Providers ◽  
Health Personnel ◽  
Health Workers ◽  
Likelihood Method ◽  
Moderate Intensity ◽  
Care Providers ◽  
Family Presence ◽  
Self Confidence ◽  
The Family

Abstract BACKGROUNDSince the 1980s, the controversial issue of family presence during cardiopulmonary resuscitation has been studied, as well as to identify the perceptions, opinions and beliefs of health professionals, patients and family members, as well as to identify benefits, barriers and design training and protocols for its implementation. In 2008, Twibell et al. designed a questionnaire that measured nurses’ perceptions of Risks-Benefits and Self-Confidence in the face of Family Presence during Cardiopulmonary Resuscitation.MethodsThe objective is to adapt and validate into Spanish the Family Presence Risk-Benefit scale and Family Presence Self-Confidence scale (FPRB-FPSC) instrument by Twibell et al. For this purpose were used a questionnaire on paper and online self-administered, semi-structured, translated cross-culturally. Statistical tests were performed for the validity of the questionnaire. 541 health workers were invited to answer. The results were analysed by factor analysis with varimax rotation (maximum likelihood method), in addition to ANOVA, contingency tables and Student’s t-test to observe associations between different variables. The study was approved by the institutional review board of the Consorci Sanitari del Garraf, and by the Ethic Comitee clinical research of the Fundació Unió Catalana Hospitals.Results 237 health workers answered the survey (69% women), of whom 167 were nurses. Health care providers who have experienced CPR barely reach 13%, with the majority being men and the elderly. Regarding the invitation to the FPDR, it barely reaches 5% and regarding the willingness to include the FP in the advance directives, 66% of the health workers are in favour. Health personnel identify similar barriers and factors that favour Family Presence.The correlation between the two measured scales, FPRB-FPSC, is significant and has a moderate intensity of the relationship (r = 0.65 and α <0.001).ConclusionsThe Family Presence during Cardiopulmonary Resuscitation generates controversy in health personnel, observing a trend along with generational change, as younger professionals tend to accept the Family Presence more. The psychometric properties of the questionnaire indicate high validity and reliability. Risk-Benefit perception and trust are related to healthcare staff who consider the Family Presence beneficial.

scholarly journals Family Presence During Resuscitation: Adaptation and Validation into Spanish of the Family Presence Risk-Benefit Scale and the Self-Confidence Scale Instrument

2020 ◽  
Author(s):  
Eva de Mingo-Fernández ◽  
Ángel Belzunegui-Eraso ◽  
María Jiménez-Herrera
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Likelihood Method ◽  
Moderate Intensity ◽  
Family Presence ◽  
Self Confidence ◽  
The Family ◽  
Confidence Scale

Abstract Background Since the 1980s, the controversial issue of family presence during cardiopulmonary resuscitation has been studied both to identify the perceptions, opinions and beliefs of health professionals, patients and family members, and to identify benefits and barriers, as well as to design training programs and protocols for its implementation. In 2008, Twibell et al designed a questionnaire that measured nurses’ perceptions of Risks-Benefits and Self-Confidence regarding Family Presence during Resuscitation. There are few studies in Spain on this practice, and therefore, this study is carried out using the same instrument, so that a comparison can be made.Methods The objective is to adapt and validate into Spanish the Family Presence Risk-Benefit scale and Family Presence Self-Confidence scale (FPRB-FPSC) instrument by Twibell et al. and thus, know the opinions of our healthcare professionals. For this purpose, a paper and online questionnaire was used. It was self-administered, semi-structured and translated cross-culturally. Statistical tests were carried out for the validity of the questionnaire. 541 healthcare professionals were invited to respond. The results were analyzed by means of factorial analysis with varimax rotation (maximum likelihood method), in addition to ANOVA and Student’s t-test to observe associations between different variables. The study was approved by the institutional review board of the Consorci Sanitari del Garraf, and by the clinical research Ethic Committee of the Fundació Unió Catalana Hospitals.Results 237 healthcare professionals answered the survey (69% women), of whom 167 were nurses. Healthcare providers who have experienced Cardiopulmonary Resuscitation barely reach 13%, with the majority being men and older people. As for the invitation to the FPDR, it barely reaches 5%, and regarding the willingness to include FP in the advance directives, 66% of the healthcare providers are in favor. Health professionals identify similar barriers to Family Presence and factors in its favor.The correlation between the two measured scales, FPRB-FPSC, is significant and has a moderate intensity of the relationship (r = 0.65 and α <0.001).Conclusions The Family Presence During Resuscitation (FPDR) generates controversy among health professionals, with a trend observed along with generational change, since younger professionals tend to accept the Family Presence better. The psychometric properties of the questionnaire indicate high validity and reliability. Risk-Benefit perception and self-confidence are related to the healthcare professionals who consider the Family Presence to be beneficial.

Family Presence During Invasive Procedures. A Pilot Study To Test a Tool

2021 ◽  
Author(s):  
Eva de Mingo-Fernandez ◽  
Ángel Belzunegui-Eraso ◽  
Guillermina Medina-Martín ◽  
Roser Cuesta-Martínez ◽  
María Jiménez-Herrera
Keyword(s):  
Health Professionals ◽  
Healthcare Professionals ◽  
Health Workers ◽  
National Standards ◽  
Moderate Intensity ◽  
Bivariate Analysis ◽  
Invasive Procedures ◽  
Validity And Reliability ◽  
Family Presence ◽  
Self Confidence

Abstract Background: Family presence during invasive procedures (FPDI) generates controversy in healthcare professionals.Objective: Evaluate the FPRB-FPSC tool for invasive procedures and find out the opinions of the medical and nursing staff on FPDI.Method: Descriptive quantitative. Online and paper questionnaire modified from a previous cross-cultural translation. A factor analysis was performed for the validity of the indices and a bivariate analysis for all the variables. Ethical approvals and research permissions were obtained according to national standards.Results: 120 healthcare professionals (22.18%) answered the survey. Cronbach’s α in Family Presence Risk-Benefit scale was 0.877. Cronbach’s α in Family Presence Self-Confidence scale was 0.937. The correlation between the Risk Benefit and Self-confidence variables is significant and with a moderate intensity of the relationship A lower predisposition to Family Presence during Invasive Procedures is observed. Doctors are more reluctant than nurses.Conclusions:The FPDI generates controversy since it alters the routines of health professionals when they decide whether to allow it or not. There is a tendency for younger professionals to support FPDI. In general, health professionals, mainly nurses, are not in favour of FPDI. Health workers who perceive fewer risks and more benefits in FPDI and have greater self-confidence are more in favour of FPDI. The psychometric properties and internal consistency of the questionnaire indicate validity and reliability of this tool.

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