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

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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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 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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Satisfacción laboral de los profesionales sanitarios de un Hospital Universitario: análisis general y categorías laborales

Anales de Psicología ◽

10.6018/analesps.31.2.169791 ◽

2015 ◽

Vol 31 (2) ◽

pp. 645 ◽

Cited By ~ 2

Author(s):

César Carrillo-García ◽

María E. Martínez-Roche ◽

Carmen I. Gómez-García ◽

Mariano Meseguer-DePedro

Keyword(s):

Health Professionals ◽

Public University ◽

University Hospital ◽

General Satisfaction ◽

Demographic Questionnaire ◽

Health Institutions ◽

Management Groups ◽

Auxiliary Nurses ◽

General Scale

Job satisfaction in health services is measured by the quality of care provided, hence the importance of surveying the workers of health institutions. The objective was to explore and analyze the phenomenon of the satisfaction of working in a sample made up of 546 health professionals belonging to a public University Hospital. Both a socio-demographic questionnaire and General Scale of Satisfaction (Overall Job Satisfacción) that were both validated in Spanish were given to the participants. The results of general satisfaction showed a mean of 71.37 (SD = 14.03). The subscales with better results were: colleagues and immediate superior. There were important differences in satisfaction scores between the different professional categories. The higher levels of general satisfaction were found in hospital management groups and resident doctors, while the lower levels of general satisfaction were found in medical area specialists, nurses and auxiliary nurses.

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FAMILY EXPECTATIONS ABOUT A PSYCHIATRIC INPATIENT UNIT

Texto & Contexto - Enfermagem ◽

10.1590/0104-0707201500000770014 ◽

2015 ◽

Vol 24 (4) ◽

pp. 984-992 ◽

Cited By ~ 2

Author(s):

Gustavo Costa de Oliveira ◽

Jacó Fernando Schneider ◽

Cíntia Nasi ◽

Marcio Wagner Camatta ◽

Agnes Olschowsky

Keyword(s):

Social Relations ◽

Psychiatric Inpatient ◽

Family Care ◽

Inpatient Unit ◽

University Hospital ◽

Family Expectations ◽

Phenomenological Sociology ◽

Psychiatric Inpatient Unit ◽

The Social ◽

The Family

ABSTRACT We aimed to understand the expectations of families about a Psychiatric Inpatient Unit in the perspective of Alfred Schutz's phenomenological sociology. This is a qualitative and phenomenological research, with families of patients at a psychiatric inpatient unit of a university hospital in the state of Rio Grande do Sul, Brazil. Data were collected through phenomenological interviews, and the analysis was constructed in the light of phenomenological sociology. The results show that the expectations of the family in the Psychiatric Inpatient Unit are related to the interpretation and experiences they have in the world of everyday life; that these expectations should be valued in patient and family care; and that they may integrate the family in care for the patient. We hope to contribute so that professionals and managers reflect about the importance of understanding the expectations of families on a Unit, aiming to implement more effective health actions, based on the social relations among the subjects.

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Family presence in emergency: Attitude and belief among emergency health professionals in a Tertiary Care Hospital of Nepal

Health Renaissance ◽

10.3126/hren.v13i3.17963 ◽

2017 ◽

Vol 13 (3) ◽

pp. 152-160

Author(s):

Sonai Chaudhuri ◽

G Malla ◽

S Uprety ◽

S Giri ◽

AK Yadav ◽

...

Keyword(s):

Emergency Department ◽

Health Professionals ◽

Tertiary Care ◽

Family Members ◽

Negative Attitude ◽

Easy Access ◽

Female Respondent ◽

Care Hospital ◽

Family Presence ◽

The Family

Background: The emergency department of B.P Koirala Institute of Health Sciences, Dharan, a 700 bedded tertiary care centre provides all medical and surgical services, with easy access to patients by their family members during most of the resuscitation procedures. Complete privacy hence is not ideally maintained. Coping with emotional stress among the family members can be a gruesome experience and reactions from them can be unpredictable. Hence, health professionals are usually exposed to various emotions of the family members of these sick patients.Methods: It is a descriptive cross sectional study among the health professionals working in the emergency department. A sample size of 80 is taken over a period of 3 months. A semi-structured questionnaire leaflet was distributed and collected by the researcher. The attitude and belief was evaluated by 12 questions on the 5 point Liker scale and cutoff value being 3. Points less than 36 were given as negative attitude towards the family presence and more being positive.Results: Out of 80samples, 75 completed with a response rate of about 94%. The majority belonged to age group 20-29 years (70.7%) age, among profession Nurses respondents were about 56%. Male and Female respondent were about equal in numbers, qualification with undergraduate level was higher (73.3%), with an experience of less than 1year being 40%. Amongst the responders there is a positive attitude with increasing age, experience and qualification.Conclusion: The health professionals had a negative attitude towards the presence of family members during the resuscitation or invasive procedures. Hence with the ethnicity and cultural aspect of family their presence is well accepted. Health Renaissance 2015;13 (3): 152-160

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

American Journal of Critical Care ◽

10.4037/ajcc2003.12.3.246 ◽

2003 ◽

Vol 12 (3) ◽

pp. 246-257 ◽

Cited By ~ 82

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.

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Family Care before and after Bereavement

OMEGA - Journal of Death and Dying ◽

10.2190/om.56.1.c ◽

2008 ◽

Vol 56 (1) ◽

pp. 21-32 ◽

Cited By ~ 18

Author(s):

David Kissane ◽

Wendy G. Lichtenthal ◽

Talia Zaider

Keyword(s):

Hospice Care ◽

Controlled Trial ◽

Family Care ◽

Model Of Care ◽

The Family ◽

Before And After ◽

Centered Care ◽

Therapy Model ◽

Family Centered

Distress reverberates throughout the family during palliative care and bereavement, inviting consideration of a family-centered model of care. Targeting families thought to be “at risk” has merit. The Family Focused Grief Therapy model was tested in a randomized controlled trial of 81 families (353 individuals) and bereavement outcome is reported here for treatment completers compared to controls. There were no significant baseline differences between treatment completers and non-completers. Significant reduction in distress occurred at 13 months post death for the families completing treatment, with further improvements for the 10% of individuals most distressed at baseline. A preventive model of family-centered care applied to those at greatest risk is meritorious and in keeping with the aspirations of Cicely Saunders for improving the quality of hospice care.

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Evaluation of an Interdisciplinary Training Program in Palliative Care: Addressing the Needs of Rural and Northern Communities

Journal of Palliative Care ◽

10.1177/082585979701300302 ◽

1997 ◽

Vol 13 (3) ◽

pp. 5-12 ◽

Cited By ~ 15

Author(s):

Linda Kristjanson ◽

Deborah Dudgeon ◽

Fred Nelson ◽

Paul Henteleff ◽

Lynda Balneaves

Keyword(s):

Palliative Care ◽

Training Program ◽

Health Professionals ◽

Repeated Measures ◽

Family Care ◽

Interdisciplinary Training ◽

Repeated Measures Design ◽

Care Training ◽

Care Of The Dying

Our study was a pilot test of an interdisciplinary training program in palliative care to improve the quality of care to terminally ill cancer and AIDS patients in rural and northern communities in Manitoba. The program involved two weeks of intense palliative care training for nurses, social workers, physicians, and volunteers. Four teams were trained during a six-month period. A repeated measures design was used to assess the effectiveness of the program. Results indicated that health professionals’ knowledge about care of the dying, care of individuals with HIV/AIDS, and attitudes toward care of the dying improved upon completion of the training program and remained improved three months following the program. Improvements in use of medications, increased attention to family care, increased discussion of DNR orders, and increased consultation related to symptom management were evident following the training program. The parallel training program for volunteers was also judged to be effective.

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Family presence during cardiopulmonary resuscitation and invasive procedures: Practices of critical care and emergency nurses

Journal of Emergency Nursing ◽

10.1067/men.2003.100 ◽

2003 ◽

Vol 29 (3) ◽

pp. 208-221 ◽

Cited By ~ 65

Author(s):

Susan L. MacLean ◽

Cathie E. Guzzetta ◽

Cheri White ◽

Dorrie Fontaine ◽

Dezra J. Eichhorn ◽

...

Keyword(s):

Critical Care ◽

Cardiopulmonary Resuscitation ◽

Invasive Procedures ◽

Emergency Nurses ◽

Family Presence

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La Surveillance Prénatale, Au Maroc Cas Des Femmes Ayant Accouché À La Maternité Souissi, CHU (Ibn Sina) Rabat

European Scientific Journal ESJ ◽

10.19044/esj.2016.v12n6p232 ◽

2016 ◽

Vol 12 (6) ◽

pp. 232 ◽

Cited By ~ 1

Author(s):

Y. El Housni ◽

E. Boussalwa ◽

A. Kharbach ◽

A. Khadmaoui

Keyword(s):

Prenatal Care ◽

Health Professionals ◽

University Hospital ◽

High Rate ◽

Historical Cohort ◽

Prospective Data ◽

Ibn Sina ◽

Prenatal Consultation ◽

Monitoring Quality

The aim of this study is to analyse the prenatal care performed to the women who gave birth at the Souissi Maternity, Ibn Sina University Hospital of Rabat, Morocco. This study is based on a historical cohort with prospective data collection, during the period of 2 April 2013 to 14 April 2013, with 230 patients Hospitalized to deliver. According to the study 96, 5 % of the women interviewed received at least one prenatal consultation from a qualified staff. Despite the high rate of coverage with antenatal care, it was found that more than half of women did not benefit from the following services: size measuring, urinalysis, rubella and toxoplasmosis serology. We also noted a growing concern among women for pregnancy monitoring quality, since 43% were simultaneously monitored by several categories of staff. To improve the quality of prenatal care, we recommend that health professionals complete physical and diagnostic tests, also provide more information about continuity of care during prenatal consultations.

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