Nurses’ Perception of Family Presence during Resuscitation in Pediatric Wards and Pediatric Intensive Care Unit at Southern West Bank Hospitals

Katy Johnny Abu Sada
كيتي جوني أبو سعدة
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Al-Quds University
Background: The primary focus of nursing is to promote health, alleviate ‎suffering, and advocate in the ‎care of individuals, families, and communities‏.‎ Caring interpersonal ‎relationships that ‎demonstrate respect for patient and family preferences is fundamental to ‎nursing practice, ‎Research has ‎shown patient- and family-centered care is not universally upheld by nurses ‎during times of ‎acute health crises.‎ Objective: The aim of this study was to assess the perception of nurses towards family presence during resuscitation (FPDR). It ‎will also assess the self-‎confidence of nurses in facilitatingFPDRof patients in ‎pediatric ward and PICU at Southern ‎West Bank Hospitals in Palestine.‎ Methods: The study is based on a cross-sectional, descriptive, analytical quantitative design‎‎conducted in spring 2020, from 4 hospitals in West Bank (Caritas baby; Beit-Jala; Red ‎Crescent; Al-Ahli Hospital). Data was collected by using a self-administrated questionnaire, ‎which included a ‎‏sociodemographic section and 2 scales previously validated by Twibell et al ‎‎(2008). Family Presence Risk/Benefit and Family Presence Self-Confidence scales developed by Twibell et al.(2008) was used.‎A convenience sample of 136 nurses was selected and the response rate was ‎‎92.64%‎ (n=127)‎ Results: Most of the study participants were females (71%), ‎aged between ‎‎30 and 34 years (N=53, 42%) and more than 65% of them (N=82)‎were married. ‎The highest percent of nurses had Bachelor degree (N=73, 57.9 %), followed ‎by Diploma ‎‎(N=23, 18.3%), while 30 (23.8%) of them had higher education. According nurses experience, ‎‏40‏‎ (32.3%) of the participants had an experience between one and ‎five years, ‎‏38‏‎ (30.6%) had experience between 6 and 10 years. According to job title, 92 (74.8%) were staff nurse and 23 (18.7%) were‎practical nurses. Results indicated that 70 (57.4%) of the participants were working in pediatric ward, ‎while‏ ‏‎52 (42.6%) of them were working in PICU. ‎In this study, 106 (86.2%) of participants reported that they had been involved in resuscitation of a child and‎‏17‏‎ (‎‏13.8‏‎%) had ‎not been involved in child resuscitation. In addition, of the 106 nurses who had been involved in resuscitation, 10 (9.4%) ‎had invited family members to be present during resuscitations, and 96 (90.6%) had not. ‎Also, of the 106 nurses who had been involved in resuscitation, 99 (93.4%) confirmed that ‎a family member outside the resuscitation room.‎Theparticipants’ level on the FPS-CS scale was ‎‏3.11‏‎(SD ‎‏0.92)‏‎,‎which reflects a moderate level of self-confidence in FPDR. Meanwhile, their level on the FPS-BS scalewas 2.68 (SD 0.45), indicating that nurses’ perception of risk-benefit related to FPDR is moderate. Moreover, therewas a positive statistically significant correlation at the level (∝≤0.05) between ‎nurses’ perceptions of confident scale and ‎ risk/ benefit scale of ‎FPDR‎. Conclusions:‎ FPDR remains a controversial subject amongst health ‎professionals in the pediatric setting. Nursing staff have shown reluctance to allow families ‎to be present for fear of interference from family members, and nurses have concerns over the ‎psychological well-being of families who witness resuscitation attempts. Many of these ‎concerns have not been supported by evidence.‎ Keywords: FPDR, self-‎confidence, risk-benefit, Nursing, family members