Factors Influencing Implementation of Family Witnessed Resuscitation Practice among Nurses Working in Medical-Surgical Units of Siaya County Referral Hospital, Kenya

Andrew Angute *

School of Nursing, Mount Kenya University, Kenya.

Daniel Muya Gachathi

Department of Nursing Education, Leadership, Management and Research, School of Nursing, Mount Kenya University, Kenya.

Ramalingam Ramani

Department of Pharmaceutical Chemistry, School of Pharmacy, Mount Kenya University, Kenya.

*Author to whom correspondence should be addressed.


Abstract

Background: The family witnessed resuscitation is offering family members an option to be present while a loved one is being resuscitated to sustain life. Despite the recommendation by various professional bodies, it is not widely practiced among medical-surgical nurses. This study aimed to describe the influence of nursing-related factors on this practice, and identify its perceived benefits and risks among nurses.

Methods: This was a cross-sectional analytical survey. Quantitative and qualitative approaches to data collection were used A stratified random sampling design was used to obtain study participants. A sample of 75 registered nurses was generated using the Yamane formula. Data was collected using the Family Presence risk and benefit assessment scale designed and validated by Twibell et al. Analysis done using SPSS and NVIVO version 26 and 11 respectively. Chi-square, crosstabulation and frequencies were computed to establish frequencies, and relation between independent and dependent variables.

Results: There was a significant association between the implementation of family witnessed resuscitation practice and the following independent factors: advanced specialized training in resuscitation ( X 2 =4.125, df =1, p =.042), training on family witnessed resuscitation practice (X 2 =6.728, df =1, p =.009). Perceived benefits were; recognition of the efforts of healthcare professionals (81.7%), acceptance that everything possible was done (83.1%), and better process of grieving (71.8%). Perceived risks identified were; family panic (78.9%), family suffering long-term emotional effects (57.7%), and trauma to the family (63.4%).

Conclusion: Overall, 47.9% of respondents had a perception of more benefits & fewer risks. Training in family witnessed resuscitation practice and advanced specialized training in resuscitation increase the implementation of family witnessed resuscitation by 4.4 and 3.3 respectively.

Keywords: Family witnessed resuscitation, nursing, medical-surgical, resuscitation


How to Cite

Angute, A., Gachathi, D. M., & Ramani, R. (2022). Factors Influencing Implementation of Family Witnessed Resuscitation Practice among Nurses Working in Medical-Surgical Units of Siaya County Referral Hospital, Kenya. International Journal of TROPICAL DISEASE & Health, 43(19), 30–42. https://doi.org/10.9734/ijtdh/2022/v43i191350

Downloads

Download data is not yet available.

References

Tomlinson KR, Golden IJ, Mallory JL, Comer L. Family Presence During Adult Resuscitation. Adv Emerg Nurs J. 2010;32(1):46–58.

Porter JE, Cooper SJ, Sellick K. Family presence during resuscitation (FPDR): Perceived benefits, barriers and enablers to implementation and practice. Int Emerg Nurs [Internet]. 2014;22(2):69–74.

Available:http://dx.doi.org/10.1016/j.ienj.2013.07.001

Go, D M, VL R, EJ B, JD B, WB B, et al. Heart disease and stroke statistics--2013 update: a report from the American Heart Association. Circulation [Internet]. 2013 Jan 1 [cited 2021 Sep 22];127(1).

Available:https://pubmed.ncbi.nlm.nih.gov/23239837/

Donoghue AJ, Abella BS, Merchant R, Praestgaard A, Topjian A, Berg R, et al. Cardiopulmonary resuscitation for in-hospital events in the emergency department: A comparison of adult and pediatric outcomes and care processes. Resuscitation [Internet]. 2015 Jul 1 [cited 2021 Mar 28];92:94–100.

Available from: /pmc/articles/PMC4788967/

Havugitanga P, Brysiewicz P. Exploring healthcare professionals’ perceptions regarding family-witnessed resuscitation in a hospital in Kigali, Rwanda. South African J Crit Care. 2014;30(1):18–21.

Leske, McAndrew, KJ B. Experiences of families when present during resuscitation in the emergency department after trauma. J Trauma Nurs [Internet]. 2013 Apr 1 [cited 2021 Aug 9];20(2):77–85.

Available:https://pubmed.ncbi.nlm.nih.gov/23722216/

Hassankhani H, Zamanzadeh V, Rahmani A, Haririan H, Porter JE. Family Presence During Resuscitation: A Double-Edged Sword. J Nurs Scholarsh. 2017 Mar 1;49(2):127–34.

Erogul M, Likourezos A, Meddy J, Terentiev V, Davydkina D, Monfort R, et al. Post-traumatic stress disorder in family-witnessed resuscitation of emergency department patients. West J Emerg Med. 2020;21(5):1182–7.

Tudor K, Berger J, Polivka BJ, Chlebowy R, Thomas B. Nurses’ perceptions of family presence during resuscitation. Am J Crit Care. 2014;23(6):e88–96.

Chapman R, Watkins R, Bushby A, Combs S. Family-Witnessed Resuscitation: Perceptions of Nurses and Doctors Working in an Australian Emergency Department. ISRN Emerg Med. 2012 Dec 13;2012:1–10.

Jabre P, Belpomme V, Azoulay E, Jacob L, Bertrand L, Lapostolle F, et al. Family Presence during Cardiopulmonary Resuscitation. N Engl J Med [Internet]. 2013 Mar 14 [cited 2021 Mar 17];368(11):1008–18.

Available:http://www.nejm.org/doi/10.1056/NEJMoa1203366

Twibell R, Craig S, Siela D, Ccrn-K A-B, Simmonds S, Thomas C. Families in Critical Care Being There: inpaTienTs’ percepTions of family presence During resusciTaTion anD invasive carDiac proceDures. 2015 [cited 2021 Apr 19];

Available:http://dx.doi.org/10.4037/ajcc2015470

Chapman R, Bushby A, Watkins R, Combs S. Australian Emergency Department health professionals’ reasons to invite or not invite Family Witnessed Resuscitation: A qualitative perspective. Int Emerg Nurs. 2014;22(1):18–24.

O’Connell KJ, Fritzeen J, Guzzetta CE, Clark AP, Lloyd C, Scott SH, et al. Family presence during trauma resuscitation: Family members’ attitudes, behaviors, and experiences. Am J Crit Care [Internet]. 2017 May 1 [cited 2021 Apr 23];26(3):229–39.

Available:https://pubmed.ncbi.nlm.nih.gov/28461545/

Goldberger ZD, Nallamothu BK, Nichol G, Chan PS, Curtis JR, Cooke CR. Policies allowing family presence during resuscitation and patterns of care during in-hospital cardiac arrest. Circ Cardiovasc Qual Outcomes [Internet]. 2015 May 26 [cited 2021 Jun 24];8(3):226–34.

Available:http://circoutcomes.ahajournals.org/lookup/suppl/doi:10.1161/CIRCOUTCOMES.114.001272/-/DC1.

Paplanus LM, Salmond SW, Jadotte YT, Viera DL. A Systematic Review of Family Witnessed Resuscitation and Family Witnessed Invasive Procedures in Adults in Hospital Settings Internationally - Part II: Perspectives of Healthcare Providers. JBI Database Syst Rev Implement Reports [Internet]. 2012 [cited 2021 Apr 19];10(33):2018–294.

Available:https://pubmed.ncbi.nlm.nih.gov/27819956/

Powers K, Montegrico J, Pate K, Pagel J. Nurse faculty perceptions of readiness for practice among new nurses graduating during the pandemic. J Prof Nurs [Internet]. 2021;37(6):1132–9. Available from: https://doi.org/10.1016/j.profnurs.2021.09.003

De Stefano C, Normand D, Jabre P, Azoulay E, Kentish-Barnes N, Lapostolle F, et al. Family presence during resuscitation: A qualitative analysis from a national multicenter randomized clinical trial. PLoS One. 2016;11(6).

Yamane. Statistics : an introductory analysis / by Taro Yamane | National Library of Australia. 1967.

Twibell, Siela D, Riwitis C, Wheatley J, Riegle T, Bousman D, et al. Nurses’ perceptions of their self-confidence and the benefits and risks of family presence during resuscitation. Am J Crit Care. 2008;17(2):101–11.

Noble H, Heale R. Triangulation in research, with examples. Evid Based Nurs. 2019;22(3):67–8.

Gordon ED, Kramer E, Couper I, Brysiewicz P. Family-witnessed resuscitation in emergency departments: Doctors’ attitudes and practices. South African Med J. 2011;101(10):765–7.

Giron SE, Dishman D, McMullan SP, Riel J, Newcomer T, Spence D, et al. Longitudinal assessment: A strategy to improve continuing professional certification. J Prof Nurs [Internet]. 2021;37(6):1140–8. Available from: https://doi.org/10.1016/j.profnurs.2021.09.002

De Robertis E, Romano GM, Hinkelbein J, Piazza O, Sorriento G. Family presence during resuscitation: A concise narrative review. Trends Anaesth Crit Care [Internet]. 2017;15(July 2018):12–6. Available:http://dx.doi.org/10.1016/j.tacc.2017.06.001

De Beer J, Moleki MM. Critical care nurses’ perceptions of family witnessed resuscitation in the Kingdom of Saudi Arabia. Afr J Nurs Midwifery [Internet]. 2012 [cited 2022 Jul 29];14(1):105– 15.

Available:https://unisapressjournals.co.za/index.php/AJNM/article/view/9187

Mclean J, Gill FJ, Shields L. Family presence during resuscitation in a paediatric hospital: Health professionals’ confidence and perceptions. J Clin Nurs. 2016;25(7–8):1045–52.

Porter JE, Grad MN, Cc D, Ed GC, Hsm GD, Acute L. Perceived barriers and benefits to family presence during resuscitation in the emergency department Family presence during resuscitation ( FPDR ): Perceived benefits , barriers and enablers to implementation and practice. Int Emerg Nurs [Internet]. 2017;22(2):69–74.

Available:http://dx.doi.org/10.1016/j.ienj.2013.07.001

Powers K, Reeve CL. Family Presence During Resuscitation : Medical – Surgical Nurses ’ Perceptions , Self-Confidence , and Use of Invitations. 2018;120(11).