"Being There": An Empirical Logic Model for Family Presence During Resuscitation and Invasive Procedures.

Area of Science:

• Nursing
• Healthcare Management
• Implementation Science

Background:

• Family presence during resuscitation and invasive procedures began in the 1980s.
• Supported by major organizations like the American Association of Critical-Care Nurses since the 1990s.
• Global adoption and research highlight its significance in critical care.

Purpose of the Study:

• To describe an empirical "Being There" model for family presence interventions.
• To provide a framework for developing and evaluating family presence programs.
• To guide implementation science research for sustained adoption.

Main Methods:

• Development of the "Being There" model based on over 125 external evidence sources.
• Utilized a logic model framework to outline program components.
• Incorporated program development, evaluation, and implementation science recommendations.

Main Results:

• The "Being There" model details program components: situation, priorities, inputs, outputs, outcomes/impact, assumptions, and external factors.
• Offers guidance for revitalizing or initiating family presence programs.
• Identifies needs for implementation science research.

Conclusions:

• The "Being There" model provides a comprehensive framework for family presence programs.
• Applicable to pediatric and adult critical care, emergency, and high-acuity settings.
• Emphasizes the need for research on effective adoption and sustainability strategies.