Renae Dougal completed her Master's Degree from Gonzaga University, Spokane, Washington, USA. Currently, she is a Clinical Assistant Professor, School of Nursing, Accelerated BSN Program for Idaho State University, Meridian, Idaho, USA.She is also a Nurse Researcher, Author, Text Contributor, Presenter for both National & International conferences, a Certified Legal Nurse Consultant and On-site Evaluator for the Commission on Collegiate Nursing Education (CCNE). She will begin her Doctoral studies for the PhD program Fall 2016
The purpose is to evaluate experiences, attitudes, and stress of healthcare personnel, patients, and family who were present during resuscitation and/or invasive procedures performed on adult patients in the emergency department (ED). A need was identified within our institutional health system for a policy regarding family presence (FP) during these procedures. A literature review was completed, evidence critiqued and leveled. Several publications focused on pediatric settings however, fewer focused on adult patients in specialty areas. A study by Duran, et al. (2007) found no completed studies about FP during resuscitation and/or invasive procedures performed in the ED. A family member is described as a person with an established relationship with the patient; this may include a relative, significant other, legal guardian, caregiver, or friend. The ED healthcare team is mainly composed of nurses, trauma surgeons, physicians, respiratory technicians, social workers, and chaplaincy personnel. Presence is being with a patient in an authentic relationship promoting mutual respect, honesty, and dignity. A quantitative non-experimental design was used. Likert-style surveys were adapted with permission from a survey by Duran, et al. (2007). Three versions of the survey were created for patients, family members present during the event, and the ED healthcare team. Anticipate that findings will show nurses have a more receptive attitude than other healthcare personnel to family member(s)’ presence during resuscitation and/or invasive procedures, and family member(s)' and patients have decreased stress and positive attitudes regarding family member(s)’ presence during a resuscitation and/or invasive procedure performed in the ED. Ongoing education to hospital staff regarding family presence is vital for sustainability within critical care areas.
Audience take away from the presentation:
- Acute care clinical areas have need for family presence and/or support during intense patient moments.
- Staff in acute care areas need to identify if policy already exists in their institutions. If not, identify task force to address need and preliminary draft for policy reviewing current literature and Evidence-based practices (EBP). If one does exist, update policy to meet current literature, EBP, and current trends.
- Needs of the adult patient in regards to Family presence and a sense of healing presence is key for healing process.
- Audience will learn about the potential need to draft and incorporate policy to meet needs of adult population during invasive procedures and/or resuscitation.
- Assistance in audience job will attempt to address personal satisfaction in advocating for the patient in their time of need.