Original Research: Family Presence During Resuscitation: Medical-Surgical Nurses' Perceptions, Self-Confidence, and
Kelly Powers1, Charlie L Reeve
1Kelly Powers is an assistant professor in the School of Nursing, College of Health and Human Services, University of North Carolina at Charlotte (UNCC). Charlie L. Reeve is a professor in the Graduate Program of Health Psychology, College of Liberal Arts and Sciences, UNCC. The authors would like to thank the Academy of Medical-Surgical Nurses for hosting the online study advertisements. This work was supported in part by funds provided by the UNCC School of Nursing. Contact author: Kelly Powers, kpower15@uncc.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Background:
Family presence during resuscitation (FPDR) upholds family-centered care principles and can result in better family member outcomes; yet it isn't routinely implemented by nurses. Prior studies have examined predictors of support for FPDR among nurses caring for high acuity patients, but limited research involves medical-surgical nurses. This is problematic because resuscitation occurs in all inpatient settings.
Purpose:
This study sought to examine the personal, professional, and workplace factors associated with medical-surgical nurses' perceptions, self-confidence, and use of invitations regarding FPDR. It also aimed to explore potential barriers to FPDR and nurses' educational preferences, in order to inform the design of interventions that might improve FPDR implementation in this practice setting.
Methods:
A cross-sectional survey design was used to examine which factors are predictors of medical-surgical nurses' FPDR perceptions, self-confidence, and use of invitations. Data on nurses' perceptions of barriers and educational preferences were collected via survey as well.
Results:
The sample of 51 medical-surgical nurses reported overall neutral perceptions of FPDR. Yet 63% had never invited family members to experience resuscitation. The most significant predictor of more favorable perceptions, higher self-confidence, and greater use of invitations was having prior experience with FPDR. Analysis of perceived barriers indicates that these can be addressed through providing nurses with supportive FPDR policies and education. But only 14% of participants reported that their facility or unit had a written FPDR policy and just 16% had ever received any FPDR education.
Conclusions:
FPDR is not commonly practiced on medical-surgical units. Providing medical-surgical nurses with experience, policies, and education is recommended to improve FPDR implementation rates in this practice setting.
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