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Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
Family Presence During Resuscitation: Physicians' Perceptions of Risk, Benefit, and Self-Confidence
Renee Samples Twibell1, Debra Siela, Alexis Neal
1Renee Samples Twibell, PhD, RN, CNE, is an associate professor at Ball State University School of Nursing, and nurse researcher at Indiana University Health Ball Memorial Hospital, Muncie, IN. Debra Siela, PhD, RN, CCNS, ACNS-BC, CCRN-K, CNE, RRT, is an associate professor and critical care clinical nurse specialist at Ball State University School of Nursing, Muncie, IN. Alexis Neal, MA, RN, is a cardiovascular service line leader at Indiana University Health Ball Memorial Hospital, Muncie, IN. Cheryl Riwitis, MSN, RN, FNP-BC, CEN, CFRN, TCRN, EMT-B, is a critical care transport nurse, family nurse practitioner, and nurse educator at Indiana University Health Lifeline, Indianapolis, IN. Heather Beane, MS, RN, is an instructor at Ball State University School of Nursing, and clinical nurse at the Cardiac Intensive Care Unit, Indiana University Health Ball Memorial Hospital, Muncie, IN.
Physicians perceive more risk than benefit during family presence in resuscitations but feel confident managing it. New scales assess physician perceptions of family presence, aiding collaboration and improving patient outcomes.
Area of Science:
- Critical care medicine
- Healthcare professional perceptions
- Patient and family centered care
Background:
- Families desire presence during life-threatening resuscitations, perceiving benefits.
- Physicians' perspectives on family presence during resuscitation are less understood than nurses'.
- Validated measures are needed to assess physicians' perceptions of family presence.
Purpose of the Study:
- To test two new instruments measuring physicians' perceived risks, benefits, and self-confidence regarding family presence during resuscitation.
- To provide psychometrically sound measures for assessing physicians' views on family presence.
Main Methods:
- A correlational design was used with 195 physicians from diverse specialties.
- Physicians completed the Physicians' Family Presence Risk-Benefit Scale and the Physicians' Family Presence Self-confidence Scale.
- Data were analyzed to assess reliability and validity of the scales.
Main Results:
- Both scales demonstrated internal consistency reliability and construct validity.
- Physicians perceived more risk than benefit but reported confidence in managing family presence.
- Higher self-confidence correlated with greater perceived benefit and lower perceived risk.
Conclusions:
- The developed scales effectively assess physicians' key perceptions of family presence during resuscitation.
- Further validation in diverse physician populations can enhance collaboration between nurses and physicians.
- Improved understanding of physician perceptions may lead to better patient and family outcomes.
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