scholarly journals Family-Witnessed Resuscitation: Perceptions of Nurses and Doctors Working in an Australian Emergency Department

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Rose Chapman ◽  
Rochelle Watkins ◽  
Angela Bushby ◽  
Shane Combs
Keyword(s):  
Emergency Department ◽  
Highly Qualified ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Family Presence ◽  
Advanced Directives ◽  
Emergency Department Staff ◽  
Specialty Certification ◽  
Nurses Perceptions ◽  
Doctors And Nurses

Inconsistencies abound in the literature regarding staff attitudes and perceptions toward family-witnessed resuscitation. Our study builds on previous research by using a validated tool to investigate emergency department staff perceptions of family-witnessed resuscitation. A cross-sectional survey was distributed to 221 emergency department doctors' and nurses'. We found few differences between doctors and nurses perceptions toward family-witnessed resuscitation. Both nurses and doctors who held a specialty certification, who were more highly qualified, who had more experience with family presence during resuscitation, and who had a personal preference for having family members present during their own resuscitation perceived more benefits and fewer risks, as well as more confidence in their ability to manage these events. However, nurses more than doctors want patients to provide advanced directives for family presence. The findings will enable clinicians, educators, and hospital management to provide better support to all stakeholders through these events.

Readiness of doctors and nurses towards family witnessed cardiopulmonary resuscitation in emergency department

2017 ◽  
Vol 4 (1) ◽  
pp. 12-15
Author(s):  
Yagya Raj Pokharel ◽  
Srijana Gauchan ◽  
Ratna Kumari Maharjan ◽  
Jyoti Maharjan
Keyword(s):  
Emergency Department ◽  
Cardiopulmonary Resuscitation ◽  
Health Workers ◽  
Medical Personnel ◽  
Psychological Trauma ◽  
Cross Sectional ◽  
Family Presence ◽  
Medical Person ◽  
Perception Of Health ◽  
Doctors And Nurses

Introductions: Presence of family during cardiopulmonary resuscitation is debatable. Doctors and nurses locally believe that family should be kept out of resuscitation. This study explores the attitude of doctors and nurses towards presence of family during resuscitation. Methods: This was a cross-sectional descriptive study conducted at Patan Hospital emergency in January 2017. Medical personnel working in emergency were given a set of questionnaires. The result was descriptively analyzed. Results: Sixty-four doctors and nursing staffs participated in the survey. Fifteen (23%) said that they would never allow presence of family during resuscitation, 37 (58%) said sometimes and 13 (20%) said always. Perception of health workers were, 32 (50%) thought it interferes with work; 25 (39%) legal problem; 33 (51%) bad reaction to the team; 35 (54%) psychological trauma to family; 23 (36%) difficult to stop resuscitation; 23 (36%) offence to family; 17 (26%) increase staff stress; 8 (12%) not culturally acceptable and 6 (9%) had no such practice observed. Conclusions: Family presence during resuscitation was not desirable for majority of medical person working at emergency department of Patan Hospital.

scholarly journals Nurses’ Perceptions of Family Presence during Resuscitation

2014 ◽  
Vol 23 (6) ◽  
pp. e88-e96 ◽  
Author(s):  
Kelly Tudor ◽  
Jill Berger ◽  
Barbara J. Polivka ◽  
Rachael Chlebowy ◽  
Beena Thomas
Keyword(s):  
Life Support ◽  
Family Members ◽  
Urban Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Family Presence ◽  
Convenience Sample ◽  
Self Confidence ◽  
The Family ◽  
Nurses Perceptions

Background Although strong evidence indicates that the presence of a patient’s family during resuscitation has a positive effect on the family, the practice is still controversial and is not consistently implemented. Objectives To explore nurses’ experience with resuscitation, perceptions of the benefits and risks of having a patient’s family members present, and self-confidence in having family presence at their workplace. Differences in demographic characteristics and relationships between nurses’ perceptions of self-confidence and perceived risks and benefits of family presence were evaluated. Methods The study was descriptive, with a cross-sectional survey design. A convenience sample of 154 nurses working in inpatient and outpatient units at an urban hospital were surveyed. The 63-item survey included 2 previously validated scales, demographic questions, and opinion questions. Results Nurses’ self-confidence and perceived benefit of family presence were significantly related (r = 0.54; P < .001). Self-confidence was significantly greater in nurses who had completed training in Advanced Cardiac Life Support, had experienced 10 or more resuscitation events, were specialty certified, or were members of nurses’ professional organizations. Barriers to family presence included fear of interference by the patient’s family, lack of space, lack of support for the family members, fear of trauma to family members, and performance anxiety. Conclusions Changing the practice of family presence will require strengthening current policy, identifying a team member to attend to the patient’s family during resuscitation, and requiring nurses to complete education on evidence that supports family presence and changes in clinical practice.

scholarly journals Prevalence, risk factors and sources of anxiety among Emergency Department healthcare workers in Pakistan during COVID-19 pandemic: A single center survey

2021 ◽  
Vol 2 ◽  
Author(s):  
N. Haroon ◽  
S. S. Owais ◽  
A. S. Khan ◽  
J. Amin
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Health Care Providers ◽  
Healthcare Workers ◽  
Work Performance ◽  
Nonparametric Tests ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Frontline Workers

Summary COVID-19 has challenged the mental health of healthcare workers confronting it world-wide. Our study identifies the prevalence and risk of anxiety among emergency healthcare workers confronting COVID-19 in Pakistan. We conducted a cross-sectional survey in an Emergency Department using the Generalized Anxiety Scale (GAD-7), and questions about sources of anxiety. Of 107 participants, 61.7% were frontline workers. The prevalence of anxiety was 50.5%. Nonparametric tests determined that nurses, younger and inexperienced staff, developed significant anxiety. Multivariate ordinal regression determined independent risk factors for developing anxiety were younger age (OR 2.11, 95% CI 0.89–4.99) and frontline placement (OR 1.34, 95% CI 0.33–1.66). Significant sources of stress were fear of infecting family (P = 0.003), lack of social support when the health care providers were themselves unwell (P = 0.02) and feelings of inadequate work performance (P = 0.05). Our study finds that HCWs’ anxiety is considerable. Appropriate measures for its alleviation and prevention are required.

scholarly journals The Comparison of Role Conflict Among Registered Nurses and Registered Practical Nurses Working in Acute Care Hospitals in Ontario Canada

2021 ◽  
pp. 084456212110144
Author(s):  
Behdin Nowrouzi-Kia ◽  
Mary T. Fox ◽  
Souraya Sidani ◽  
Sherry Dahlke ◽  
Deborah Tregunno
Keyword(s):  
Emergency Department ◽  
Role Conflict ◽  
Acute Care ◽  
Acute Care Hospitals ◽  
Cross Sectional Survey ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Medical Unit ◽  
Scale Scores ◽  
Surgical Unit

Objectives The study aimed to describe and compare nurses’ perceptions of role conflict by professional designation [registered nurse (RN) vs registered practical nurse (RPN)] in three primary areas of practice (emergency department, medical unit, and surgical unit). Methods This analysis used data (n = 1,981) from a large cross-sectional survey of a random sample of RNs and RPNs working as staff nurses in acute care hospitals in Ontario, Canada. Role conflict was measured by the Role Conflict Scale. Results A total of 1,981 participants (RN = 1,427, RPN = 554) met this study’s eligibility criteria and provided complete data. In general, RN and RPN mean total scale scores on role conflict hovered around the scale’s mid-point (2.72 to 3.22); however, RNs reported a higher mean score than RPNs in the emergency department (3.22 vs. 2.81), medical unit (2.95 vs 2.81) and surgical unit (2.90 vs 2.72). Where statistically significant differences were found, the effect sizes were negligible to medium in magnitude with the largest differences noted between RNs and RPNs working in the emergency department. Conclusions The results suggest the need to implement strategies that diminish role conflict for both RNs and RPNs.

Current Models for Inpatient and Emergency Room Ophthalmology Consultation in U.S. Residency Programs

2020 ◽  
Vol 12 (02) ◽  
pp. e171-e174
Author(s):  
Donna H. Kim ◽  
Dongseok Choi ◽  
Thomas S. Hwang
Keyword(s):  
Emergency Department ◽  
Medical Education ◽  
Emergency Room ◽  
Program Directors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Direct Supervision ◽  
Residency Programs ◽  
Residency Program Directors ◽  
Competency Assessments

Abstract Objective This article examines models of patient care and supervision for hospital-based ophthalmology consultation in teaching institutions. Design This is a cross-sectional survey. Methods An anonymous survey was distributed to residency program directors at 119 Accreditation Council for Graduated Medical Education accredited U.S. ophthalmology programs in the spring of 2018. Survey questions covered consult volume, rotational schedules of staffing providers, methods of supervision (direct vs. indirect), and utilization of consult-dedicated didactics and resident competency assessments. Results Of the 119 program directors, 48 (41%) completed the survey. Programs most frequently reported receiving 4 to 6 consults per day from the emergency department (27, 55.1%) and 4 to 6 consults per day from inpatient services (26, 53.1%). Forty-seven percent of programs reported that postgraduate year one (PGY-1) or PGY-2 residents on a dedicated consult rotation initially evaluate patients. Supervising faculty backgrounds included neuro-ophthalmology, cornea, comprehensive, or a designated chief of service. Staffing responsibility is typically shared by multiple faculty on a daily or weekly rotation. Direct supervision was provided for fewer of emergency room consults (1–30%) than for inpatient consults (71–99%). The majority of programs reported no dedicated didactics for consultation activities (27, 55.1%) or formal assessment for proficiency (33, 67.4%) prior to the initiation of call-related activities without direct supervision. Billing submission for consults was inconsistent and many consults may go financially uncompensated (18, 36.7%). Conclusion The majority of hospital-based ophthalmic consultation at academic centers is provided by a rotating pool of physicians supervising a lower level resident. Few programs validate increased levels of graduated independence using specific assessments.

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