Powers Kelly A, Candela Lori
Kelly A. Powers is an assistant professor, School of Nursing, The University of North Carolina at Charlotte, Charlotte, North Carolina. Lori Candela is an associate professor, School of Nursing, University of Nevada, Las Vegas, Las Vegas, Nevada.
Am J Crit Care. 2016 Jul;25(4):302-9. doi: 10.4037/ajcc2016814.
Family presence during resuscitation (FPDR) is supported by patients and their family members. Nurses, however, including critical care nurses who frequently implement resuscitative care, have mixed views.
To determine the impact of online learning on critical care nurses' perception of and self-confidence with FPDR.
A 2-group, random assignment, pretest and posttest quasi-experimental study was conducted with critical care nurses recruited nationally. An online learning module on FPDR was developed and administered to the intervention group. Perceptions and self-confidence for FPDR were measured by using the Family Presence Risk- Benefit Scale (FPR-BS) and the Family Presence Self-confidence Scale (FPS-CS). Two-factor, mixed-model factorial analysis of variance was used to compare mean scores.
A total of 74 critical care nurses participated in the study. Mean FPR-BS and FPS-CS scores were significantly greater in the intervention group than in the control group. For the intervention group, mean scores on the FPR-BS increased from 3.63 to 4.07 (P < .001) and on the FPS-CS increased from 4.24 to 4.57 (P < .001), signifying improved perception and self-confidence. Scores did not change significantly in the control group: mean FPR-BS score increased from 3.82 to 3.88 (P = .23) and the mean FPS-CS score of 4.40 did not change (P > .99).
Online learning is a feasible and effective method for educating large numbers of critical care nurses about FPDR. Online learning can improve perceptions and self-confidence related to FPDR, which may promote more widespread adoption of FPDR into practice.
复苏期间家属在场（FPDR）得到了患者及其家属的支持。然而，护士，包括经常实施复苏护理的重症监护护士，对此看法不一。
确定在线学习对重症监护护士对FPDR的认知及自信心的影响。
对全国招募的重症监护护士进行了一项两组、随机分配、前后测的准实验研究。开发了一个关于FPDR的在线学习模块并应用于干预组。使用家属在场风险效益量表（FPR-BS）和家属在场自信心量表（FPS-CS）来测量对FPDR的认知和自信心。采用双因素混合模型方差分析来比较平均分。
共有74名重症监护护士参与了该研究。干预组的FPR-BS和FPS-CS平均分显著高于对照组。对于干预组，FPR-BS平均分从3.63提高到4.07（P <.001），FPS-CS平均分从4.24提高到4.57（P <.001），表明认知和自信心有所改善。对照组的分数没有显著变化：FPR-BS平均分从3.82提高到3.88（P =.23），而4.40的FPS-CS平均分没有变化（P >.99）。
在线学习是一种可行且有效的方法，可用于对大量重症监护护士进行关于FPDR的教育。在线学习可以改善与FPDR相关的认知和自信心，这可能会促进FPDR在实践中更广泛地应用。
