Family presence during CPR Evaluation essay
Clinical Research Question (PICOT): For families with patients in ED, how does allowing family presence in the room compared to removing them help the family cope with patient outcome during the period of cardiopulmonary resuscitation?
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Study/Source Purpose of study Design/Method Sample/Setting Measurement Tools Data Analysis Findings Major Variables Level of Evidence Appraisal: Impact on Practice Conclusion(s) Usefulness for Answering the PICOT
Hassankhani, H., Zamanzadeh, V., Rahmani, A., Haririan, H., & Porter, J. E. (2017). Family Presence During Resuscitation: A Double‐Edged Sword. Journal of Nursing Scholarship, 49(2), 127-134. The study intended to evaluate the meaning of the lived experiences of resuscitation team members with the presence of the patient’s family during resuscitation in the cultural context of Iran. The qualitative research method is applied in this study, it applied audiorecorded and semi-structured interviews The study utilized a sample size of 12 nurses and 9 physicians in interviews for a period of 6‐month. The healthcare provider’s experience and opinions were used to measure the impact of family presence during CPR Van Manen’s technique was used for data analysis. Family presence during CPR could present a destructive or supportive impact. It preseent in the for of a double-edged sword. Independent variables; health organization and the CPR. Dependent variables; resuscitation team The study presents level II evidence due to dependencey on indivivual opinions The research offers fundamental insight into the EBP project in the nursing practice supportive in responding to the PICOT question
De Stefano, C., Normand, D., Jabre, P., Azoulay, E., Kentish-Barnes, N., Lapostolle, F., … & Vicaut, E. (2016). Family presence during resuscitation: a qualitative analysis from a national multicenter randomized clinical trial. PloS one, 11(6), e0156100. The study aimed to assess and characterize the experience of family members observing CPR of their patient Explanatory design has been used with interviewing method of data collection 30 individuals were interviewed out of 75 selected families three months after CPR The feelings and reactions of family members served as measurement tools Qualitative interpretive approach was used based on the constant techqunique of comparison. Family presence can alleviate the pain of the death, through the feeling of participation. communication between the family and the emergency care team facilitate acceptance of death. Independent varible; Resuscitation rooms and CPR. Dependent variable; family members, experiences systematic review; level I evidence The research suggests future studies complementary to the clinical practice supportive in responding to the PICOT question
Gutysz-Wojnicka, A., Ozga, D., Dyk, D., Mędrzycka-Dąbrowska, W., Wojtaszek, M., & Albarran, J. (2018). Family presence during resuscitation–The experiences and views of Polish nurses. Intensive and Critical Care Nursing, 46, 44-50. The study is focused on the demand of nurses To determine the experiences and views of Polish nurses about family witnessed resuscitation. A cross sectional survey study through the use of questionnaires 720 nurse delegates participated but utilized 240 questionnaires polish version in validation of questionnaires is used as a measurement tool Exploratory factor analysis is used Family presence enhance the nurses attitude and views on the patient. It stimulates their commitment and focus. It also improves collaborative actions. independent variables; nursing practice, nursing schools. Dependent variable;The nurses and family. systematic review; level I evidence The study guides choosing of an effective implementation strategy in clinical settings. supportive in responding to the PICOT question
Bradley, C., Keithline, M., Petrocelli, M., Scanlon, M., & Parkosewich, J. (2017). Perceptions of adult hospitalized patients on family presence during cardiopulmonary resuscitation. American Journal of Critical Care, 26(2), 103-110. The study purposed to explore the perceptions of patients on general medical units and to find factors independently associated with family presence during cardiopulmonary resuscitation. A cross sectional study that involved interviews via a survey was used the study utilized a sample size of 117 adults selected for participation. participants views and perceptions were used as measurement tools a stattistical approach was used for data analysis Majority of the participants agreed that family presence during cardiopulmonary resuscitation was important. Patients have strong preferences about family presence during CPR independent variable; medical unit and hospital. Dependent variables; patients, resuscitation team members the study presents level I evidence due to direct acquisition of information from participants. the study suggests alteration in the scope of practice in the clinical setting supportive in responding to the PICOT question
Jakab, M., Day, A. Z., Kraguljac, A., Brown, M., & Mehta, S. (2019). Family Presence in the Adult ICU During Bedside Procedures. Journal of intensive care medicine, 34(7), 587-593. The study aimed to understand perspectives of family members of adult patients admitted to the medical–surgical intensive care unit (ICU) regarding their presence during procedures. a quantitative study was used that utilized questionnaires sample size of 97 family members was used for 72 patients Impact of Events Scale–Revised (IES-R) was used as a measurement tool. statitistical analysis was applied to generate findings in percentages it was evident that family members wish to be present for ICU procedures, and there are no adverse psychological effects independent variable; ICU unit and hospital. Dependent variables; patients, family members quantitative survey level I evidence the study indicates implementation of new policies at practice settings supportive in responding to the PICOT question
Giles, T., de Lacey, S., & Muir‐Cochrane, E. (2016). Factors influencing decision‐making around family presence during resuscitation: a grounded theory study. Journal of advanced nursing, 72(11), 2706-2717. The aim of this study was to examine factors impacting family presence during resuscitation practices in the acute care setting. a qualitative method that involved constructivist grounded theory design a sample size of 25 participants; health professionals, family members and patients The Social Construction of Conditional Permission was used as a measurement tool Qualitative interpretive approach was used for analysis of opinions and perceptions factors impacting family presence during CPR included claiming ownership, prioritizing preferences and rights, assessing suitability, setting boundaries and protecting others/self independent variables; acute care units, hospital. Dependent variable; family members and patients systematic review; level II evidence the sudy indicates areas for futher studies to investigate the factors in clinical practice. supportive in responding to the PICOT question
Zali, M., Hassankhani, H., Powers, K. A., Dadashzadeh, A., & Ghafouri, R. R. (2017). Family presence during resuscitation: A descriptive study with Iranian nurses and patients’ family members. International emergency nursing, 34, 11-16. The purpose of this study was to determine Iranian nurses’ and family members’ attitudes towards FPDR. A descriptive study was applied that utilized questionnaires the study used a random sample of 178 nurses and 136 family members in four hospitals located in Iran. questionnaires were used as a measurement tool descriptive and correlational analyses were conducted FPDR was desired by the majority of family members, however, majority of the nurses disagreed with an adult implementation of FPDR due to distress and interferences independent variables; hospital, organization. Dependent variables; nurses and family members The study presents level II evidence the study could align the attitude of nurses and patients during resuscitation. supportive in responding to the PICOT question
Dwyer, T. A. (2015). Predictors of public support for family presence during cardiopulmonary resuscitation: a population based study. International journal of nursing studies, 52(6), 1064-1070. The aim of this population based study was to identify factors that predict public support for having family present during cardiopulmonary resuscitation. a quantitative method was used; cross-sectional population based study a sample size of 1208 respondents was involved computer-assisted-telephone was used as a measurement tool statitistical analysis was applied to generate findings in percentages Participants supported family members being present depending on the type of relationship, gender, and prior exposure. Majority prefered presence if the patient is a child or a closeset family member. independent variables; resuscitation rooms, hospitals. Dependent variable; members of the public, quantitative survey level I evidence the study could lay foundation for application of evidence-based practices supportive in responding to the PICOT question
References
Gutysz-Wojnicka, A., Ozga, D., Dyk, D., Mędrzycka-Dąbrowska, W., Wojtaszek, M., & Albarran, J. (2018). Family presence during resuscitation–The experiences and views of Polish nurses. Intensive and Critical Care Nursing, 46, 44-50.
Hassankhani, H., Zamanzadeh, V., Rahmani, A., Haririan, H., & Porter, J. E. (2017). Family Presence During Resuscitation: A Double‐Edged Sword. Journal of Nursing Scholarship, 49(2), 127-134.
De Stefano, C., Normand, D., Jabre, P., Azoulay, E., Kentish-Barnes, N., Lapostolle, F., … & Vicaut, E. (2016). Family presence during resuscitation: a qualitative analysis from a national multicenter randomized clinical trial. PloS one, 11(6), e0156100
Dwyer, T. A. (2015). Predictors of public support for family presence during cardiopulmonary resuscitation: a population based study. International journal of nursing studies, 52(6), 1064-1070.
Zali, M., Hassankhani, H., Powers, K. A., Dadashzadeh, A., & Ghafouri, R. R. (2017). Family presence during resuscitation: A descriptive study with Iranian nurses and patients’ family members. International emergency nursing, 34, 11-16.
Bradley, C., Keithline, M., Petrocelli, M., Scanlon, M., & Parkosewich, J. (2017). Perceptions of adult hospitalized patients on family presence during cardiopulmonary resuscitation. American Journal of Critical Care, 26(2), 103-110.
Jakab, M., Day, A. Z., Kraguljac, A., Brown, M., & Mehta, S. (2019). Family Presence in the Adult ICU During Bedside Procedures. Journal of intensive care medicine, 34(7), 587-593.
Bradley, C., Keithline, M., Petrocelli, M., Scanlon, M., & Parkosewich, J. (2017). Perceptions of adult hospitalized patients on family presence during cardiopulmonary resuscitation. American Journal of Critical Care, 26(2), 103-110.
