Twibell Renee Samples, Siela Debra, Riwitis Cheryl, Wheatley Joe, Riegle Tina, Bousman Denise, Cable Sandra, Caudill Pam, Harrigan Sherry, Hollars Rick, Johnson Doreen, Neal Alexis
School of Nursing, Ball State University, Ball Memorial Hospital, Muncie, IN 43704, USA.
Am J Crit Care. 2008 Mar;17(2):101-11; quiz 112.
Debate continues among nurses about the advantages and disadvantages of family presence during resuscitation. Knowledge development about such family presence is constrained by the lack of reliable and valid instruments to measure key variables.
To test 2 instruments used to measure nurses' perceptions of family presence during resuscitation, to explore demographic variables and perceptions of nurses' self-confidence and the risks and benefits related to such family presence in a broad sample of nurses from multiple hospital units, and to examine differences in perceptions of nurses who have and who have not invited family presence.
Nurses (n = 375) completed the Family Presence Risk-Benefit Scale and the Family Presence Self-confidence Scale.
Nurses' perceptions of benefits, risks, and self-confidence were significantly and strongly interrelated. Nurses who invited family presence during resuscitation were significantly more self-confident in managing it and perceived more benefits and fewer risks (P < .001). Perceptions of more benefits and fewer risks were related to membership in professional organizations, professional certification, and working in an emergency department (P < .001). Data supported initial reliability and construct validity for the 2 scales.
Nurses' perceptions of the risks and benefits of family presence during resuscitation vary widely and are associated with how often the nurses invite family presence. After further testing, the 2 new scales may be suitable for measuring interventional outcomes, serve as self-assessment tools, and add to conceptual knowledge about family presence.
护士们对于复苏过程中家属在场的利弊仍存在争议。由于缺乏可靠且有效的工具来测量关键变量，关于家属在场的知识发展受到了限制。
测试两种用于测量护士对复苏过程中家属在场看法的工具，在来自多个医院科室的广泛护士样本中，探讨人口统计学变量以及护士的自信心认知，以及与家属在场相关的风险和益处，并检验邀请过家属在场和未邀请过家属在场的护士在看法上的差异。
375名护士完成了《家属在场风险-益处量表》和《家属在场自信心量表》。
护士对益处、风险和自信心的认知显著且强烈相关。在复苏过程中邀请家属在场的护士在处理此事时明显更自信，且认为益处更多、风险更少（P <.001）。对更多益处和更少风险的认知与加入专业组织、获得专业认证以及在急诊科工作有关（P <.001）。数据支持了这两个量表的初步信度和结构效度。
护士对复苏过程中家属在场的风险和益处的认知差异很大，并且与护士邀请家属在场的频率有关。经过进一步测试后，这两个新量表可能适用于测量干预结果，作为自我评估工具，并增加关于家属在场的概念性知识。
