Nurses’ Perceptions of FPDR

Family presence during resuscitation (FPDR) upholds family-centered care principles and can result in better family member outcomes; yet it isn’t routinely implemented by nurses. Prior studies have examined predictors of support for FPDR among nurses caring for high acuity patients, but limited research involves medical–surgical nurses. This is problematic because resuscitation occurs in all inpatient settings.

This study sought to examine the personal, professional and workplace factors associated with medical–surgical nurses’ perceptions, self-confidence and use of invitations regarding FPDR. It also aimed to explore potential barriers to FPDR and nurses’ educational preferences, in order to inform the design of interventions that might improve FPDR implementation in this practice setting.

Results:

The sample of 51 medical–surgical nurses reported overall neutral perceptions of FPDR. Yet 63% had never invited family members to experience resuscitation. The most significant predictor of more favorable perceptions, higher self-confidence, and greater use of invitations was having prior experience with FPDR. Analysis of perceived barriers indicates that these can be addressed through providing nurses with supportive FPDR policies and education. But only 14% of participants reported that their facility or unit had a written FPDR policy and just 16% had ever received any FPDR education.

Conclusions:

FPDR is not commonly practiced on medical–surgical units. Providing medical–surgical nurses with experience, policies and education is recommended to improve FPDR implementation rates in this practice setting.