Ferrara Gineen, Ramponi Denise, Cline Thomas W
ConvenientCare and Business Care settings (Dr Ferrara) and Emergency Department and ConvenientCare settings (Dr Ramponi), Heritage Valley Health System, Sewickley, Pennsylvania; School of Nursing & Health Sciences, Robert Morris University, Moon Township, Pennsylvania (Drs Ramponi and Cline); and Alex G. McKenna School, Saint Vincent College, Latrobe, Pennsylvania (Dr Cline).
Adv Emerg Nurs J. 2016 Jan-Mar;38(1):32-42. doi: 10.1097/TME.0000000000000086.
Family presence during resuscitation (FPDR) has been an ongoing topic of discussion in many hospital emergency departments throughout the United States. With the current emphasis promoting patient- and family-centered care, families are now exercising their right to be present at the bedside during resuscitation. With or without a policy, there is continued resistance to allow families to remain with their loved ones during resuscitation. The purpose of this study was to evaluate if an evidence-based educational intervention would increase physicians' and nurses' knowledge, attitudes, and compliance with allowing FPDR. This quasi-experimental study evaluated 30 attending physicians' and 65 registered nurses' knowledge of an existing family presence policy and their attitudes toward family presence post-educational intervention in an emergency department setting. Compliance of family presence was observed for 2 months pre- and post-educational intervention. Results show that most physicians and nurses either were not sure or were not aware that there was an existing written policy. The study demonstrated that nurses agree more than physicians that the option of FPDR is a patient/family right. The results also showed that the educational intervention had no effect on the physicians and nurses attitudes for FPDR, but it did change behaviors. Of the events involving professionals who were exposed to the educational intervention, family members were present 87.5% of the time. In contrast, only 23% of the events involving professionals who did not receive the educational intervention had families present. Ongoing staff education will heighten awareness to FPDR, make the staff more comfortable with families being present, and will presumably continue to increase invitations for FPDR.
复苏期间家属在场（FPDR）一直是美国许多医院急诊科持续讨论的话题。随着当前对以患者和家庭为中心的护理的重视，家属现在正在行使他们在复苏期间在床边陪伴的权利。无论有无相关政策，对于允许家属在复苏期间陪伴亲人仍存在持续的抵触情绪。本研究的目的是评估基于证据的教育干预是否会增加医生和护士关于允许FPDR的知识、态度及依从性。这项准实验研究评估了30位主治医师和65位注册护士对现有家属在场政策的了解情况，以及他们在急诊科接受教育干预后对家属在场的态度。在教育干预前后各观察2个月家属在场的依从情况。结果显示，大多数医生和护士不确定或不知道有现有的书面政策。研究表明，护士比医生更认同FPDR是患者/家属的一项权利。结果还表明，教育干预对医生和护士对FPDR的态度没有影响，但确实改变了行为。在涉及接受教育干预的专业人员的事件中，87.5%的情况下家属在场。相比之下，在涉及未接受教育干预的专业人员的事件中，只有23%有家属在场。持续的员工教育将提高对FPDR的认识，让员工更适应家属在场的情况，并可能会继续增加对FPDR的邀请。
