Family presence during resuscitation: adaptation and validation into Spanish of the Family Presence Risk-Benefit scale and the Self-Confidence scale instrument

Abstract Background Family Presence during Cardiopulmonary Resuscitation has been studied both to identify the opinions of health professionals, patients, and family members, and to identify benefits and barriers, as well as to design protocols for its implementation. R. Twibell and her team designed an instrument that measured nurses’ perceptions of Risks-Benefits and Self-Confidence regarding Family Presence during Resuscitation. There are few studies in Spain on this practice. Methods The aim is to adapt and validate into Spanish the Family Presence Risk-Benefit scale and Family Presence Self-Confidence scale instrument. For this purpose, this instrument was translated cross-culturally, and administered in paper and online version. Statistical tests were carried out for the validity of the questionnaire. Five hundred forty-one healthcare professionals were invited to respond. The results were analyzed by the same statistical procedures as in the original scale. Ethical approvals and research permissions were obtained according to national standards. Results Two hundred thirty-seven healthcare professionals (43.8%) answered the survey (69% women), of whom 167 were nurses. Validation of instruments: Cronbach’s α in Family Presence Risk-Benefit scale was 0.94. Cronbach’s α in Family Presence Self-Confidence scale was 0.96. Factor Analysis Kaiser, Meyer and Olkin (KMO) was greater than 0.9. The correlation between the two measured scales, is significant and has a moderate intensity of the relationship (r = 0.65 and α < 0.001). A lower predisposition to Family Presence during Cardiopulmonary Resuscitation is observed, but the pure detractors are only 12%. Doctors are more reluctant than nurses. Conclusions The psychometric properties of the questionnaire in Spanish 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. More studies in different contexts are necessary to confirm the psychometric results and validity of this instrument in Spanish.

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

10.21203/rs.3.rs-31012/v3 ◽

2021 ◽

Author(s):

Eva de Mingo-Fernández ◽

Ángel Belzunegui-Eraso ◽

María Jiménez-Herrera

Keyword(s):

Cardiopulmonary Resuscitation ◽

Healthcare Professionals ◽

Statistical Tests ◽

National Standards ◽

Moderate Intensity ◽

Validity And Reliability ◽

Family Presence ◽

Self Confidence ◽

The Family ◽

Confidence Scale

Abstract BACKGROUNDFamily Presence during Cardiopulmonary Resuscitation has been studied both to identify the opinions of health professionals, patients, and family members, and to identify benefits and barriers, as well as to design protocols for its implementation. R.Twibell and her team designed an instrument that measured nurses’ perceptions of Risks-Benefits and Self-Confidence regarding Family Presence during Resuscitation. There are few studies in Spain on this practice. MethodsThe aim is to adapt and validate into Spanish the Family Presence Risk-Benefit scale and Family Presence Self-Confidence scale instrument. For this purpose, this instrument was translated cross-culturally, and administered in paper and online version. Statistical tests were carried out for the validity of the questionnaire. 541 healthcare professionals were invited to respond. The results were analyzed by the same statistical procedures as in the original scale. Ethical approvals and research permissions were obtained according to national standards.Results 237 healthcare professionals (43.8%) answered the survey (69% women), of whom 167 were nurses. Validation of instruments: Cronbach’s α in Family Presence Risk-Benefit scale was 0.94. Cronbach’s α in Family Presence Self-Confidence scale was 0.96. Factor Analysis Kaiser, Meyer and Olkin (KMO) was greater than 0.9. The correlation between the two measured scales, is significant and has a moderate intensity of the relationship (r = 0.65 and α <0.001). A lower predisposition to Family Presence during Cardiopulmonary Resuscitation is observed, but the pure detractors are only 12%. Doctors are more reluctant than nurses.ConclusionsThe psychometric properties of the questionnaire in Spanish 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. More studies in different contexts are necessary to confirm the psychometric results and validity of this instrument in Spanish.

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

10.21203/rs.3.rs-31012/v2 ◽

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.

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

10.21203/rs.3.rs-1060498/v1 ◽

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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Family Witnessed Resuscitation: Staff Opinion

10.21203/rs.3.rs-31012/v1 ◽

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.

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Eficácia da simulação na autoconfiança de estudantes de enfermagem para ressuscitação cardiopulmonar extra-hospitalar: um estudo quase experimental

Scientia Medica ◽

10.15448/1980-6108.2019.1.32694 ◽

2019 ◽

Vol 29 (1) ◽

pp. 32694 ◽

Cited By ~ 1

Author(s):

Genesis Souza Barbosa ◽

Caio Guilherme Silva Bias ◽

Lorene Soares Agostinho ◽

Luciana Maria Capurro de Queiroz Oberg ◽

Rafael Oliveira Pitta Lopes ◽

...

Keyword(s):

Nursing Students ◽

Cardiopulmonary Resuscitation ◽

Undergraduate Students ◽

The Self ◽

Significance Level ◽

Self Confidence ◽

Intervention Protocol ◽

Before And After ◽

Quasi Experimental ◽

Confidence Scale

AIMS: To verify the effectiveness of the simulation in the self-confidence of nursing students for extra-hospital cardiopulmonary resuscitation. METHODS: A quasi-experimental, before and after, single-group study, was performed with nursing undergraduate students. The sample was recruited among university students who were in the second or third year of graduation and accepted to participate in the research. The intervention protocol consisted of individual participation in a emergency simulated clinical scenario. The simulated scenario adopted consisted of cardiopulmonary resuscitation in extra-hospital cardiorespiratory arrest, using the Mini Anne Plus® low fidelity manikin. In addition to the sociodemographic variables, students' self-confidence for emergency action was analyzed, evaluated by the Self-Confidence Scale, before and after each simulation. Marginal and homogeneous Wilcoxon homogeneity tests were applied, and the accepted significance level was 5%.RESULTS: Thirteen two undergraduate students in nursing between the ages of 18 and 38 participated in the study. Statistically significant differences (p < 0.001) were observed in the answers of all the questions of the Self-confidence Scale when compared before and after the simulation. There was also a statistically significant increase (p < 0.001) in cardiological, respiratory and neurological scores after simulation.CONCLUSIONS: The simulation proved to be an effective educational strategy in increasing the self-confidence of nursing students to perform extra-hospital cardiopulmonary resuscitation.

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Validation of instruments about family presence on invasive procedures and cardiopulmonary resuscitation in pediatrics

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.2368.3046 ◽

2018 ◽

Vol 26 (0) ◽

Author(s):

Cristiana Araújo Guiller Ferreira ◽

Flávia Simphronio Balbino ◽

Maria Magda Ferreira Gomes Balieiro ◽

Myriam Aparecida Mandetta

Keyword(s):

Cardiopulmonary Resuscitation ◽

Professional Practice ◽

Health Professionals ◽

Family Care ◽

University Hospital ◽

Invasive Procedures ◽

Family Presence ◽

The Family ◽

Good Internal Consistency

ABSTRACT Objective: to develop and validate instruments to identify health professionals’ beliefs related to the presence of the child’s family in invasive procedures and in cardiopulmonary resuscitation. Method: study based on Psychometrics to conduct the theoretical, empirical and analytical stages, developed in a neonatal unit of a university hospital. The two instruments were constructed based on the literature and applied to 96 health professionals. Results: the Cronbach’s Alpha of the instrument related to the professionals’ beliefson invasive procedures was 0.863 and the instrument on cardiopulmonary resuscitation was 0.882. In both instruments, the tests performed indicated a correlation between the items. From the factorial analysis, four factors were generated: (1) benefits of the presence of the family; (2) impairment for professional practice; (3) strategies for the inclusion of the family; and (4) limitation of learning and decision making by the professional. Conclusion: the instruments analyzed obtained a good internal consistency and are indicators of the professionals’ beliefs with the potential to evaluate the quality of family care in this context.

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

American Journal of Critical Care ◽

10.4037/ajcc2008.17.2.101 ◽

2008 ◽

Vol 17 (2) ◽

pp. 101-111 ◽

Cited By ~ 54

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.

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Nurses’ Perceptions of Family Presence during Resuscitation

American Journal of Critical Care ◽

10.4037/ajcc2014484 ◽

2014 ◽

Vol 23 (6) ◽

pp. e88-e96 ◽

Cited By ~ 33

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.

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Family presence during cardiopulmonary resuscitation and invasive procedures in children

Revista Paulista de Pediatria ◽

10.1590/s0103-05822014000100017 ◽

2014 ◽

Vol 32 (1) ◽

pp. 107-113 ◽

Cited By ~ 10

Author(s):

Cristiana Araujo G. Ferreira ◽

Flavia Simphronio Balbino ◽

Maria Magda F. G. Balieiro ◽

Myriam Aparecida Mandetta

Keyword(s):

Cardiopulmonary Resuscitation ◽

The United States ◽

Health Staff ◽

Healthcare Team ◽

Invasive Procedures ◽

Family Presence ◽

Team Members ◽

Critical Care Units ◽

The Family ◽

Centered Care

Objective: To identify literature evidences related to actions to promote family's presence during cardiopulmonary resuscitation and invasive procedures in children hospitalized in pediatric and neonatal critical care units. Data sources : Integrative literature review in PubMed, SciELO and Lilacs databases, from 2002 to 2012, with the following inclusion criteria: research article in Medicine, or Nursing, published in Portuguese, English or Spanish, using the keywords "family", "invasive procedures", "cardiopulmonary resuscitation", "health staff", and "Pediatrics". Articles that did not refer to the presence of the family in cardiopulmonary resuscitation and invasive procedures were excluded. Therefore, 15 articles were analyzed. Data synthesis : Most articles were published in the United States (80%), in Medicine and Nursing (46%), and were surveys (72%) with healthcare team members (67%) as participants. From the critical analysis, four themes related to the actions to promote family's presence in invasive procedures and cardiopulmonary resuscitation were obtained: a) to develop a sensitizing program for healthcare team; b) to educate the healthcare team to include the family in these circumstances; c) to develop a written institutional policy; d) to ensure the attendance of family's needs. Conclusions: Researches on these issues must be encouraged in order to help healthcare team to modify their practice, implementing the principles of the Patient and Family Centered Care model, especially during critical episodes.

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Hubungan antara Kepercayaan Diri dengan Kecemasan Bertanding Anggota Komunitas Tari Modern di Kota Padang

PSYCHE 165 ◽

10.35134/jpsy165.v14i2.26 ◽

2021 ◽

pp. 121-129

Author(s):

Ajeng Wulandari ◽

Harry Theozard Fikri ◽

Krisnova Natasia

Keyword(s):

Modern Dance ◽

Sampling Technique ◽

Anxiety Scale ◽

Reliability Coefficient ◽

Measuring Instrument ◽

Validity And Reliability ◽

Independent Variables ◽

Self Confidence ◽

The Relationship ◽

Confidence Scale

The aim of this study is to assess the relationship between self-confidence and competing anxiety A member of the Padang City Modern Dance Community. In this study the independent variables are self-confidence, and the dependent variable is anxiety for competition. The measuring instrument used in this study is a level of selfconfidence and a competing scale of anxiety.In this study the sampling technique uses the technique of nonprobability sampling. 105 members of the modern dance community in Padang city were the sample in this study. Alpha Cronbach technique was used in validity and reliability tests in this study. The validity of coefficient results on the confidence scale moves from rx-0.341 to r-0.889 with a reliability coefficient of a-0.943, while the competition anxiety scale moves from rix0.324 to r-0.737 with a reliability coefficient of a = 0.919. The correlation value was -0.571, with a meaning level of 0.000, which means the hypothesis is accepted, based on the data analysis.This indicates a relationship significant among the members of the modern dance community in Kota Padang between self-confidence and competing anxiety.

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