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RES242
Health Care Personnel Attitudes, Concerns, And Beliefs Toward Family Presence During CPR And Bedside Invasive Procedures
By: R. Basol, K. Ohman, J. Simones, & K.Skillings; St. Cloud Hospital, MN
For further information, please contact: basolr@centracare.com
Purpose: The study was conducted to determine the attitudes, concerns, and beliefs related to family presence during cardiopulmonary resuscitation (CPR) and bedside invasive procedures (BIP) of RNs in staff and management positions, physicians, CRNAs, and other staff from a variety of patient care units.
Background/Significance: Staff RNs and physician’s attitudes, concerns, and beliefs about family presence during CPR and BIP are known primarily for individuals working in the emergency room and pediatric populations. Little is known about the attitudes, concerns, and beliefs of RNs in staff and management positions, physicians, CRNAs, and other staff working in all areas of the hospital. Yet, all these individuals may be involved in providing care or supporting policies regarding family presence.
Methods: The descriptive and correlational study was conducted by a questionnaire to collect demographic data and a 16-item Family Presence and Support: Staff Assessment Survey with some open-ended questions. The survey included items rated on a likert scale from “1” strongly agree to “5” strongly disagree, items with a yes-no response, and open-ended questions. A question related to supporting a policy giving the family the option of being present during CPR or BIP was also asked. Surveys were distributed to staff RNs, management RNs, physicians, CRNAs, respiratory therapists, orderlies, and spiritual care staff. Descriptive statistics and Pearson correlations were applied for data analysis.
Results: Of 1402 distributed surveys 625 were returned for a 45% response rate. Support for a policy giving family the option of being present during resuscitation was reported at 61.3% and during invasive procedures at 67.9%. Study findings showed support for family presence during CPR or BIP by those with national certification, non members of the code blue team, and Critical Care and Emergency Room nurses. CRNAs were the least likely to support family presence at 17.6% whereas RNs reported support at 65.4%. RNs felt family members should have the option to be present more than non-RNs (p=.000). RNs also felt family members should have the option to be present more than physicians (p=.000).
Conclusions: Findings reveal both support and non-support for families to be present during CPR and BIP. Providing family presence as an option provides an opportunity for reluctant healthcare team members to refuse their presence and an opportunity for those who support family presence to welcome the family.
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