Renee N. Bush is a lung transplant nurse coordinator (posttransplant and inpatient), UNC Health, Jason Ray Transplant Clinic, Chapel Hill, North Carolina.
Lisa Woodley is a clinical associate professor, University of North Carolina School of Nursing, Chapel Hill, North Carolina.
Crit Care Nurse. 2022 Aug 1;42(4):27-37. doi: 10.4037/ccn2022898.
Family presence during resuscitation is becoming more common, and pediatric critical care nurses regularly facilitate this process. However, most hospitals lack policies and education to support nurses in this practice.
To increase pediatric intensive care unit nurses' knowledge and self-confidence with family presence during resuscitation through an educational intervention.
The project used a pre-post intervention study design with anonymous online cross-sectional surveying. Participant demographic data were collected along with participants' responses to 2 instruments measuring perceived risks and benefits of family presence during resuscitation and participant self-confidence with the process. The educational session consisted of a 2-hour structured session incorporating content presentation, discussion, simulation videos, and parental testimony.
Thirty-six nurses participated in this project. Overall mean scores of both tools and scores of almost every item within each tool significantly increased after the intervention.
Formalized and structured education on family presence during resuscitation appears to promote pediatric intensive care unit nurses' knowledge, increase their perception of benefits outweighing risks, and enhance their self-confidence in supporting family members. Providing information about family presence during resuscitation and how best to facilitate this practice should be a priority and included as part of standard educational support for pediatric intensive care unit nurses.
在复苏过程中允许家属在场正变得越来越普遍，儿科重症监护护士经常会协助这一过程。然而，大多数医院缺乏政策和教育来支持护士的这一实践。
通过教育干预，提高儿科重症监护病房护士在复苏过程中对家属在场的认识和信心。
该项目采用了预-后干预的研究设计，使用匿名在线横断面调查。收集参与者的人口统计学数据，以及他们对 2 种工具的回答，这 2 种工具分别衡量了在复苏过程中家属在场的感知风险和益处，以及参与者对该过程的信心。教育课程包括 2 小时的结构化课程，内容包括内容介绍、讨论、模拟视频和家长证词。
共有 36 名护士参与了该项目。干预后，两种工具的总体平均得分以及每种工具的几乎每个项目的得分都显著增加。
针对复苏过程中家属在场的正式和结构化教育似乎可以提高儿科重症监护病房护士的知识，增加他们对益处大于风险的认识，并增强他们在支持家属方面的信心。提供关于复苏过程中家属在场的信息以及如何最好地促进这一实践应成为优先事项，并作为儿科重症监护病房护士标准教育支持的一部分。
