Hadassah-Hebrew University School of Nursing, Jerusalem, Israel.
J Cardiovasc Nurs. 2012 May-Jun;27(3):220-7. doi: 10.1097/JCN.0b013e31821888b4.
Family-centered care (FCC) has been cited as important to patient care; however, little is known about nurses' perspectives toward FCC. Family presence during resuscitation (FPDR) is an example of the implementation of FCC; however, nurses do not necessarily agree with FPDR, especially those from non-Western countries. It is also unknown whether there is an association between FPDR and FCC.
The objective of the study was to determine (a) the attitudes of nurses toward FCC and FPDR and (b) whether there is an association between FCC and FPDR.
A convenience sample of 96 Israeli intensive care unit and cardiovascular registered nurses completed 5 questionnaires: a demographic data questionnaire, Nursing Activities for Communication With Families-Revised, Barriers to Providing Family-Centered Care-Revised (Barriers), Nurses' Experiences of Family-Witnessed Resuscitation, and Attitudes to Family Presence During Resuscitation. Descriptive statistics and Pearson correlations were conducted.
The item mean values for the Nursing Activities for Communication With Families-Revised and the Barriers scales were only 3.7 of 5 and a moderate 2.4 of 4, respectively. Only 19 of the sample (20%) had experienced FPDR, of which 17 reported a negative as opposed to a positive experience. Overall, nurses objected to FPDR (mean item score = 1.8 of 5). No statistically significant relationship was found between FCC and FPDR. A significant negative correlation was found between the Barriers scale and FPDR (r = -0.36, P = .0001).
Although FCC has moderate support, objection still remains to FPDR. Family presence during resuscitation has been used as an example of FCC, but at least in certain populations, this example might not be applicable. Increased education and policy changes should be encouraged to promote FCC and FPDR.
以家庭为中心的护理（FCC）被认为对患者护理很重要；然而，人们对护士对 FCC 的看法知之甚少。在复苏期间允许家属在场（FPDR）是 FCC 实施的一个例子；然而，护士并不一定同意 FPDR，尤其是来自非西方国家的护士。也不知道 FPDR 是否与 FCC 有关。
本研究的目的是确定：（a）护士对 FCC 和 FPDR 的态度；（b）FCC 与 FPDR 是否存在关联。
采用便利抽样法，对 96 名以色列重症监护室和心血管注册护士进行了 5 份问卷的调查：一份人口统计学数据问卷、修订后的护理活动以与家庭沟通、修订后的提供以家庭为中心的护理障碍量表（障碍）、护士对家庭见证复苏的体验和对在复苏期间允许家属在场的态度。进行了描述性统计和 Pearson 相关性分析。
修订后的护理活动以与家庭沟通量表和障碍量表的项目平均值分别为 5 分中的 3.7 分和 4 分中的 2.4 分。仅样本中的 19 人（20%）有过 FPDR 的经历，其中 17 人报告的是负面经历，而不是正面经历。总的来说，护士反对 FPDR（平均项目得分为 5 分中的 1.8 分）。没有发现 FCC 与 FPDR 之间存在统计学上的显著关系。在障碍量表和 FPDR 之间发现了显著的负相关（r = -0.36，P =.0001）。
尽管 FCC 得到了中等程度的支持，但对 FPDR 的反对仍然存在。在复苏期间允许家属在场已经被用作 FCC 的一个例子，但至少在某些人群中，这个例子可能并不适用。应鼓励增加教育和政策改革，以促进 FCC 和 FPDR。
