Jessica Duffy

Date on Paper

7-2020

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

Clark, Paul R.

Committee Member

Christian, Becky

Author's Keywords

family presence during resuscitation (FPDR); cardiopulmonary resuscitation; attitude; belief; nurses’ perspective; self-confidence; impact and effect(s)

Abstract

Family presence during resuscitation (FPDR) remains a controversial topic among healthcare providers. Nurses’ lack of self-confidence has repeatedly been identified as one of the barriers as to why families are not being offered the option to be present during resuscitation of their loved ones. The purpose of this quality improvement project is (1) to explore whether nurses’ selfconfidence perception when experiencing FPDR is greater after an educational intervention; and (2) to further explore nurses’ perceived benefits and risks related to FPDR. This prospective project gained a baseline knowledge of the perception of self-confidence, benefits, and risks in regard to FPDR of emergency department nurses at University of Louisville Hospital. Nurses completed the Family Presence Risk Benefit Scale (FPR-BS) and the Family Presence Selfconfidence Scale (FPS-CS) pre and post educational intervention. Paired t-tests revealed a statistically significant increase in post-test mean scores on both the FPS-CS (pre-test M=3.7 (SD=.75), post-test M=4.0 (SD=.73), t(34) = -3.202, (p = .003) and the FPR-BS (pre-test M=3.3 (SD=.52) post-test M=3.5 (SD=.73), t(34) = -2.118, (p = .042), indicating that the mean scores were higher on both scales after the educational intervention. The educational intervention positively impacted the nurses as nurse participants perceived greater self-confidence with FPDR and believed there were more benefits and fewer risks to family presence than initially perceived prior to the educational intervention.

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