| Learning Objective #1: State three barriers to the implementation of a family presence protocol in the clinical setting | |||
| Learning Objective #2: Describe the role of nursing classification language in the documentation of facilitating family presence |
Purpose: The specific aims of this qualitative study were to 1) analyze the practice of facilitating family presence during resuscitation; 2) determine appropriate nursing classification labels and definitions that accurately reflect this emerging clinical practice related to serious or life-threatening health events; 3) suggest implementation strategies for this intervention based on the current state of the science.
Background and significance: Modern hospitals have commonly excluded family members during invasive procedures or resuscitation. Although this practice continues, it is being challenged both in the literature and in the clinical setting.
Methods: A comprehensive literature review was undertaken, and the literature was the primary source of data. A concept analysis was performed using Morse’s qualitative method. Specific attributes of the impetus for family presence, the intervention itself, and of the outcome desired were identified.
Results: It is clear from the current literature that many families desire to be present when a family member is undergoing resuscitation. This desire is a manifestation of normal family functioning and role expression. There is evidence that family presence is desirable and beneficial for both patient and family. Some staff may feel threatened by family presence. The need to provide resources which may be scarce, such as personnel to actively support the family members, may be problematic.
Conclusions: Implementing a protocol and training program will take both time and resources. Additionally, a method for tracking outcomes and identifying problems must be developed. Facilities that adopt family presence must have a commitment to work through problems using an interdisciplinary approach. This practice warrants further research, particularly the interdisciplinary aspects.
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