Nurses’ Perception of Family Presence during Resuscitation in Pediatric Wards and Pediatric Intensive Care Unit at Southern West Bank Hospitals
Date
2022-01-03
Authors
Katy Johnny Abu Sada
كيتي جوني أبو سعدة
Journal Title
Journal ISSN
Volume Title
Publisher
Al-Quds University
Abstract
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