Literature Review Of Family Presence During Resuscitation

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

The aim of this dissertation is to critically explore the concept of Family Witnessed Resuscitation and to evaluate the literature available concerning this subject. This in turn will allow the author to identify if this practice should be implemented in their clinical work setting and make recommendations for practice.

It can be very frustrating at times dealing with the family members of the older patient that I see in the emergency room. I have such limited time to take care of everyone’s needs before the next patient comes in by ambulance that I often forget how the family feels seeing their parent on an emergency room cart in pain and confused. My definition of the comfort I can provide in the emergency room are often very different from the family’s expectations. According to Gerontological Nursing (Tabloski, 2014), the attending nurse needs to understand the patient and family’s goals, wishes and values to attend to their

Multiple family members gather together to give care to the loved one from far and near. The father or the oldest male relative holds the greatest power in most families to make health-related decisions for an ill loved one. Family members feel responsible for bathing, changing, and feeding their loved one daily even during hospital stays (Taxis, 2008). In addition, prayer and ritual are also critical components of the dying process. Family members may pray with the patient at the bedside, at a home altar, or at church. At times, candles are kept lit for 24 hours a day as a symbol of continuous worship. Clergy members may visit to offer spiritual support. As the ill loved one approaches death, the sacrament of anointing of the sick is administered by a priest or lay member (Kemp, 2001). Mexican American families use religious beliefs in the afterlife to help them cope with this emotional process.

The article showed that over the year’s clinician’s attitude to having family present had become more positive but had concerns about safety, the emotional responses of the family members, and performance anxiety. Nurses had more favorable attitudes toward family presence than physicians did. Patients and their families had positive attitudes toward family presence. Family presence is beneficial to patients, patients’ families; to them it provides emotional support, helps decrease anxiety and makes the patient feel empowered. As family presence becomes a more accepted practice, healthcare providers will need to accommodate patients’ families at the bedside and address the barriers that impede the practice.

According to Erlingsson and Brysiewicz (2015), family is considered a core, social institution and is our first interaction with human beings. When viewing the family as a context, the nurse assesses the patient that is in need of care while in the background, there are the family members of the patient. According to Kaakinen, Coehlo, Steel, Tabacco & Hanson (2015), the source of support to the patient is his or her family members. Usually family members are in attendance with the patient. This approach is used when a mother is admitted to the intensive care unit after falling and sustaining head trauma. The patient is the mother. The nurse is focused on the mother and care was directed

Some family members seen family presence not only as an essential right but likewise as a mode of giving support to their loved ones in this emergency of life crisis. Though, some family could have concern about feeling sensitively traumatized and beholden to observe the code when families may prefer to decline. Patients besides believed that the family had the right to have their families present. Some patients alleged to felt safer and less frightened when family was present. But, other patients described that they desired to face death alone and did not want estranged folks to be permitted to invade their own privacy. Healthcare workers seen family presence as an occasion to preserve the self-respect and personhood of patients but be frightened physical assault by distressed family members, augmented threats of legal responsibility and subsequent litigation, and loss of control above the code situation. Captivatingly, all parties involved arranged that family presence during the code could result in exposing patients to extended resuscitations in medically fruitless circumstances because the trauma team may be unwilling to call the code in the presence of the family of the patient. In the past decade, nurses have progressively promoted for family presence. Nurses mostly agree that family presence could be favorable for both patients and families, if patients and families wish it. For the reason of this belief, nurses endure to advocate for their patients by making an effort to revise policies that limit family presence in the

What was once believed to be a form of neglect has resulted in a change in practice with the idea that doing less is more. Culture is an important factor in how care is rendered and thus, the limitations of palliative and hospice care lie within the desires of the family and patients. A thorough understanding of our surrounding demographics helps to ensure a seamless approach to providing care without bias or imposition of ones beliefs. However, just as with all things, providing care for the sick and comforting the dying should be rendered in moderation as to prevent the effects of burn out. Likewise, the same effects occur in the caregivers who sacrifice their responsibilities in order to care for their love ones. Finally, and with some closing thoughts, the writer wishes to express with gratitude the benefit of having taken this course to better understand oneself and others in the realm of healthcare. The lessons learned throughout have expanded this writer's knowledge and understanding of the human desire to make a connection through communication, emotion, compassion, and spiritually - the platform from which this writer wishes to continue seeking further knowledge and

Giving the patient the option to accept or decline will demonstrate an understanding of the need for patient and family-centered care. To overcome barriers of concern expressed throughout the studies analyzed, it is essential to address, and modify practice as well as policies to reduce the likelihood of potential problems. Modifying elements of practice, such as handoff report, and talking in front of, or near family members can help decrease the breaching of patient confidentiality. Finding a small room away from patients and their families can provide them with privacy, and can provide staff with privacy when speaking about other patients. Unfortunately, depending on the structure of each PACU, limitations in space will always exist (Holthaus, Davis, Filla & Cooper, 2015). Managing the number of family members involved in the visit can help utilize the space available. Finding an appropriate time for visitation is also important. A suggested time for visitation is when the patient is awake from anesthesia, their pain and vital signs are under control and importantly, the patient is consenting to a visit with their family. Giving families some time alone with their loved one without staff continuously interrupting can give them that one-on-one time they

Restricting family presence contradicts patient- and family-centered care (PFCC). Within the PFCC paradigm, the patient and family relationship is recognized as an inseparable entity. Encouraging unrestrictive family presence through an open visitation policy can ensure patients and family members are provided with the opportunity to remain connected during a hospitalization experience.1 Despite professional organizations for critical care nursing and patient- and family-centered care advocating for unrestrictive family presence, many critical care units have not adopted an open visitation policy. According to the American Association of Critical-Care Nurses (AACCN),

What is your opinion regarding family presence during resuscitation ? Do you support this practice? Why or why not?

An interdisciplinary and interprofessional simulation was performed to establish a new process for Donation after Circulatory Death procedures in order to reduce warm ischemia time for recovered organs. The new process utilizes one operating room and

Overview: University of Kansas, article entitled: Creating a curtain of protection: nurses’ experiences of grief following patient death. This title was clear and unambiguous suggesting the key phenomenon under study. Too long or too short titles can be confusing or misleading (Parahoo, 2006), however, this title contained few words which adequately described the contents and purpose of the paper being studied. The abstract provided a succinct overview of the research, it brought out the main features of the report and included relevant information. It captivated my interest which motivated me to continue reading. This paper is a qualitative research written by L. Gerow and colleagues. In this study eleven registered nurses were interviewed using semi-structured interviews and phenomenology concepts. Audio-tapes and demographic questionnaires were also used. The data was analysed using methods of Heideggerian hermeneutical analysis and Van Manen’s progression. The purpose was to describe the lived experiences of nurses surrounding patient’s death. It entails how nurses deal with such situation differently by creating a curtain of protection to mitigate the grieving process allowing them to continue providing supportive nursing care. The aim was to investigate nurses’ grief to develop

According to the Picker Institute & Planetree, “patient-centered care is a model in which providers partner with patients and their families to identify and satisfy the full range of patient needs and preferences, while simultaneously supporting the professional and personal aspirations of their staff”. With patient-centered care, becoming integral in medical care why is it that staff still feel as though family and friends visiting patients in the intensive care unit (ICU) is not beneficial to the patient and inhibits care? Do the old policies of restricted visitation actually hold some value in the care of patients or are they just left in place because of the beliefs held by hospital staff? It is important that we step back and evaluate our beliefs, but also examine the evidence that exists in support of open visitation and the benefits that could aid the patient, hospital, staff, and visitors.

Data was collected over two years in a level one trauma center with trauma patients that had one family member present and were admitted to the surgical intensive care unit after resuscitation. The family member was interviewed two days later for an average of ten to thirty minutes in a quiet room away from the patient. The sample size of the study was twenty eight and the majority of the sample was female. The results showed that the majority of family members that were present felt that there role was to be supportive and protect the patient during the trauma. They felt that being present was comforting to them and the patient, regardless of the outcome. Another common theme was that the family felt comforted knowing that everything possible was done for their family member.