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Family presence during cardiopulmonary resuscitation: using evidence-based knowledge to guide the advanced practice
Christopher T Doolin1, Lisa D Quinn, Lesley G Bryant
1Spalding University, Louisville, Kentucky, USA.
Purpose:
To provide advanced practice nurses (APNs) with the best available evidence for implementation of policies and procedures to allow family presence during cardiopulmonary resuscitation (CPR) in the acute care environment.
Data Sources:
A comprehensive review of research-based articles from Ebsco Host, CINAHL, Pre-CINAHL, and Medline Plus, as well as statement alerts from nursing credentialing bodies, and practice guidelines were reviewed. Kolcaba's Theory of Comfort and Lewin's Three Step Change Theory provide a framework for implementation of formal policies and procedures.
Conclusions:
Best available evidence showed more support in favor of allowing families at the bedside during CPR. Implementation of policies and procedures allowing family presence enables facilities to change and grow in a holistic and family-oriented atmosphere.
Implications For Practice:
With this evidence-based knowledge the APN will be able to disseminate information to facilitate collaborative change in current practices surrounding staff education, decision making, and self-governance. The APN can then address controversial changes when developing formal policies and procedures, which will increase patient satisfaction and outcomes.
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01:21Cardiopulmonary Resuscitation I: Adult
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
01:23Cardiopulmonary Resuscitation III: AED Use
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01:19Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...