Kantrowitz-Gordon Ira, Bennett Deborah, Wise Stauffer Debra, Champ-Gibson Erla, Fitzgerald Cynthia, Corbett Cynthia
School of Nursing, University of Washington, Box 357262, Seattle, WA 98195, United States; College of Nursing, Washington State University, Spokane, WA, United States.
Nurse Educ Today. 2013 Oct;33(10):1258-63. doi: 10.1016/j.nedt.2012.08.009. Epub 2012 Sep 1.
Facilitated family presence at resuscitation is endorsed by multiple nursing and specialty practice organizations. Implementation of this practice is not universal so there is a need to increase familiarity and competence with facilitated family presence at resuscitation during this significant life event. One strategy to promote this practice is to use a nursing student toolkit for pre-licensure and graduate nursing students. The toolkit includes short video simulations of facilitated family presence at resuscitation, a PowerPoint presentation of evidence-based practice, and questions to facilitate guided discussion.
This study tested the effectiveness of this toolkit in increasing nursing students' knowledge, perceptions, and confidence in facilitated family presence at resuscitation. Nursing students from five universities in the United States completed the Family Presence Risk-Benefit Scale, Family Presence Self-Confidence Scale, and a knowledge test before and after the intervention.
Implementing the facilitated family presence at resuscitation toolkit significantly increased nursing students' knowledge, perceptions, and confidence related to facilitated family presence at resuscitation (p<.001). The effect size was large for knowledge (d=.90) and perceptions (d=1.04) and moderate for confidence (d=.51).
The facilitated family presence at resuscitation toolkit used in this study had a positive impact on students' knowledge, perception of benefits and risks, and self-confidence in facilitated family presence at resuscitation. The toolkit provides students a structured opportunity to consider the presence of family members at resuscitation prior to encountering this situation in clinical practice.
多个护理及专业实践组织都认可在复苏过程中让家属在场的做法。这种做法的实施并不普遍，因此有必要在这一重大生命事件中提高对在复苏过程中让家属在场做法的熟悉程度和应对能力。推广这种做法的一种策略是为护理专业预科生和研究生提供一个护理学生工具包。该工具包包括在复苏过程中让家属在场的短视频模拟、基于证据的实践的PowerPoint演示文稿以及促进引导性讨论的问题。
本研究测试了该工具包在提高护理学生对在复苏过程中让家属在场的知识、认知和信心方面的有效性。来自美国五所大学的护理学生在干预前后完成了家属在场风险效益量表、家属在场自我信心量表和一项知识测试。
实施复苏过程中让家属在场的工具包显著提高了护理学生对复苏过程中让家属在场的知识、认知和信心（p<.001）。知识方面的效应量较大（d=.90），认知方面的效应量较大（d=1.04），信心方面的效应量中等（d=.51）。
本研究中使用的复苏过程中让家属在场的工具包对学生的知识、对利弊的认知以及对复苏过程中让家属在场的自信产生了积极影响。该工具包为学生提供了一个结构化的机会，以便在临床实践中遇到这种情况之前考虑家属在复苏过程中的在场问题。
