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    Family presence during resuscitation in a paediatric hospital: Health professionals' confidence and perceptions

    249931.pdf (378.4Kb)
    Access Status
    Open access
    Authors
    McLean, J.
    Gill, Fenella
    Shields, L.
    Date
    2016
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    McLean, J. and Gill, F. and Shields, L. 2016. Family presence during resuscitation in a paediatric hospital: Health professionals' confidence and perceptions. Journal of Clinical Nursing. 25 (7-8): pp. 1045-1052.
    Source Title
    Journal of Clinical Nursing
    DOI
    10.1111/jocn.13176
    ISSN
    0962-1067
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/50363
    Collection
    • Curtin Research Publications
    Abstract

    Aims and objectives: To investigate medical and nursing staff's perceptions of and self-confidence in facilitating family presence during resuscitation in a paediatric hospital setting. Background: Family presence during resuscitation is the attendance of family members in a location that affords visual or physical contact with the patient during resuscitation. Providing the opportunity for families to be present during resuscitation embraces the family-centred care philosophy which underpins paediatric care. Having families present continues to spark much debate amongst health care professionals. Design: A descriptive cross-sectional randomised survey using the 'Family Presence Risk/Benefit Scale' and the 'Family Presence Self-Confidence Scale 'to assess health care professionals' (doctors and nurses) perceptions and self-confidence in facilitating family presence during resuscitation of a child in a paediatric hospital. Methods: Surveys were distributed to 300 randomly selected medical and nursing staff. Descriptive and inferential statistics were used to compare medical and nursing, and critical and noncritical care perceptions and self-confidence. Results: Critical care staff had statistically significant higher risk/benefit scores and higher self-confidence scores than those working in noncritical care areas. Having experience in paediatric resuscitation, having invited families to be present previously and a greater number of years working in paediatrics significantly affected participants' perceptions and self-confidence. There was no difference between medical and nursing mean scores for either scale. Conclusion: Both medical and nursing staff working in the paediatric setting understood the needs of families and the philosophy of family-centred care is a model of care practised across disciplines. Relevance to clinical practice: This has implications both for implementing guidelines to support family presence during resuscitation and for education strategies to shift the attitudes of staff who have limited or no experience.

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