A Research Study On Healthcare Professionals

Nurses often use the aspect of time as an excuse not to conduct a family interview, however, Wright and Leahey (2009) clearly demonstrate how integrating families into patient care does not have to consume a lot of time. Using the Calgary Family Assessment Model (CFAM) and Calgary Family Intervention Model (CFIM), a family interview can be organized and conducted in a less amount of time, and end in a greater understanding of the patient and family. The CFAM contains three major categories including structural, developmental, and functional, which can be used to assess a family or help them address a specific health issue (Wright & Leahey, 2009). The CFIM uses assessments focusing on strengths, meaning that it uses the strengths of each individual family member, and the unit as a whole to provide positive interventions. This allows the interventions to focus on encouraging the family, rather than their deficits or dysfunctions (Wright and Leahey, 2009). During the 15-minute interview, it is suggested to have the entire family present so that the interviewer is able note reactions and collaborate with each family member, thus providing the most acceptable plan of care for the entire family.

Including the client as an expert member of the team creates an enhanced quality of care (Coad, Patel & Murray, 2014). In pediatrics, parents are often at the center of the child’s care. When asked to define what made the client care experience positive, parents stated that sensitivity, empathy and honesty were key factors (Coad, Patel & Murray, 2014). Working in healthcare, nurses can become desensitized to difficult experiences because they deal with them daily. Integrating the client and family as part of the healthcare team, allows the nurse to see the patient and family as a people first. By avoiding using illness as context, and instead using person as context, care will be more holistic (Coad, Patel & Murray, 2014). A family-focused approach helps to ensure that the whole family feels a part of the experience and is valued. In the case of bereavement, family centered care is particularly important. If the family is not included in the care from the start, it can provide barriers for grieving and impact how the family deals with loss (Jones, Contro & Koch, 2014). Nurses have an opportunity to help support the family through the grief process (Jones, Contro & Koch, 2014). Families have a significant impact on how the client heals, so by caring for the family’s needs, the nurse is indirectly caring for the patient. It is in the client’s best interest for the care to be holistic for the patient as well as the family (Jones, Contro & Koch, 2014). All

This early attempt to allow family members into the resuscitation area was first introduced in the United States of America (USA) in 1987 and the introduction of this idea in A&E departments in the UK began in 1994 (Mahabir and Sammy 2012). In 1995 the RCN and the British Association for Accident and Emergency Medicine (BAEM) made recommendations that family witnessed resuscitation should be considered and supported by Hospital Trusts (RCN 2002). This was also supported by the Resuscitation Council (UK) guidelines published in 1996, which recommended that “family members should be given the opportunity to be present during CPR attempts and should also be given the appropriate support throughout the experience” (Monks and Flynn

Once an area of evidence-based practice has been chosen for investigation, the reviewer must locate current evidence sources and, using a structured approach, assess each for applicability to the issue being investigated. The aim of this paper is to use a Rapid Critical Appraisal Checklist (Melnyk and Fineout-Overholt, 2011) to support these sources of evidence into a review that discusses the importance of daily, high-level, multidisciplinary communication and patient safety. The summaries of these evaluations will be provided as an appraisal of each study.

The article goes on to address the importance of specifically designing practices related to family centered care in the pediatric setting. Four recommendations are set forth in this guideline: family visitation, family centered rounds, family presence during CPR and invasive procedures, and family conferences. Recurrent themes in these areas are listening to and respect the family. communication of information and answering questions, education, and collaboration in developing treatment. While most of the information in this article is focused on the parents and ill child, many of the suggestions are applicable and adaptable to siblings (Meert, Clark, & Eggly, 2013).

For an electronic search to be successful it is important to find the right key words or concepts required to retrieve the journal articles as journal articles are indexed and entered onto the databases using keywords (Aveyard, 2014). The keywords for this literature review derived from the research question and synonyms words (Schneider, Elliott, LoBiondo-Wood and Haber, 2004). The keywords identified and retrieved used a combination of the following keywords; CPR, cardiac arrest, cardiopulmonary resuscitat*, famil* and family carer*. The keywords 'family ', 'witnessed

The purpose of a systematic review is to attempt to find, evaluate and synthesize high quality research relevant to the research question. A systematic review uses carefully developed data collection and sampling procedures that are put in place in advance as a protocol. (Polit, 2012). A systematic review must contain the following: a clear inclusion and exclusion criteria, an explicit search strategy, systematic coding and analysis of included studies, and a meta-analysis if possible. (Hemingway & Brereton, 2009). Systematic reviews are conducted by nurse researchers to avoid reaching incorrect or misleading conclusions that

The study conducted by Mian et al looked at attitudes pre- and post- FWR experience and in both situations found that nurses had a more favorable view of FWR (2007). While there are many potential reasons for this trend, one possible explanation is that nurses have more interaction with the patient and the patient’s family, thus establishing more of a connection which in turn makes nurses feel more comfortable with family members present.

Involved in monitoring and quality assurance visits activities and attended the principle investigator and research team meeting with the quality assurance team.

According to the Society of Critical Care Medicine (SCCM), over 5.7 million patients are admitted annually to the intensive care unit (SCCM, n.d. ). Despite these high numbers, clinicians continue to debate about family presence during cardiopulmonary resuscitation (CPR). On the mist of these crisis, family members may not want to abandon their loved ones. Some would argue that families have a right to choose and ease their anxiety. Family presence during resuscitation (FPDR) comes with multiple advantages. One of the advantage of FPDR is, giving the family an opportunity to morally support their loved ones (Leske, McAndrew, & Brazel, 2013). Another benefit of FPDR is being exposed of the resuscitation process, which may help family member process their loss post-death. Despite these advantages the controversies include, the fear of the invasive procedure traumatizing families. (Leske et al., 2013).

The main component of family centered care is to ensure a patient, their family and health care professionals are brought together to aid in the healing and recovery of the patient (Resources, 2016). This is particularly important in the pediatric population. The family is a huge part in a child’s healing and comfort. A hospital can be overwhelming for a child so in turn the child will want to be surrounded by family, this will help to ensure quicker recovery and help comfort their anxiety. Nurses need to attempt to involve the child’s family as much as possible, ultimately the child’s stay becomes comfortable and helps to relieve any anxieties the child would be feeling. Sometimes a simple act of allowing the child to try on their stethoscope and listen to their parent’s heartbeats, will create a sense of trust and relieve the child’s nerves.

In the situation which a family members health is compromised to the level that they need to be in the intensive care unit, not only does the family need to come together to serve as a support for the patient, but also a support for one another. As health care providers one must serve a role in this process as well. According to Damboise and Cardin, the family’s needs include; information, reassurance, support, and the need to be near the patient (2003).

I that nurses should definitely advocate for family presence during CPR in the event that

Evidence-based practice (EBP) in nursing means making decisions about patient care on the basis of best, current, standardized practice and guidelines. According to an article, written by Dr. Kathleen Stevens, the development of evidence-based practice (EBP) is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care (Stevens, 2013). The author also mentioned in her article that the intended effect of EBP is to standardize healthcare practices to science and best evidence and to reduce illogical variation in care,

his chapter provides the discussion of findings, followed by policy recommendations and conclusion of the study.