Family presence during management of acute deterioration: Clinician attitudes, beliefs and perceptions of current practices

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• 作者：Megan J. Youngson ; RN ; BN ; GDipNursPrac(Emergency Care) ; MNursPrac^a ; ^b ; ^c ; ^{megany@bhs.org.au" class="auth_mail" title="E-mail the corresponding author} ; Judy Currey ; RN ; BN(Hons) ; PhD ; GCertHE ; GCertSc(App Stats)^d ; ^e ; Julie Considine ; RN ; RM ; BN ; GDipNurs(Acute Care) ; GCertHE ; MN ; PhD^d ; ^e ; ^f
• 关键词：Emergency nursing ; Family research ; Attitudes ; Clinical deterioration ; Emergency medicine ; Resuscitation
• 刊名：Australasian Emergency Nursing Journal
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：19
• 期：3
• 页码：159-165
• 全文大小：357 K

文摘

The nature of acute clinical deterioration has changed over the last three decades with a decrease in in-hospital cardiac arrests and an increase in acute clinical deterioration. Despite this change, research related to family presence continues to focus on care during resuscitation rather than during acute deterioration.

Aim

To explore healthcare clinician attitudes, beliefs and perceptions of current practices surrounding family presence during episodes of acute deterioration in adult Emergency Department patients.

Methods

Clinicians (n = 156) from a single study site in Melbourne, Australia completed a 17-item survey.

Results

Participants disagreed that family members would interrupt (59.0%) or interfere (61.5%) with patient care if present during episodes of patient deterioration. Most (77.6%) participants stated that they included family during episodes of patient deterioration. Females, nurses and Australians/New Zealanders had a more positive attitude towards including family during episodes of patient deterioration when compared to males, doctors and clinicians of other ethnicities. Nurses with post-graduate qualifications and those with more years of experience had a more positive attitude towards including family during episodes of patient deterioration than nurses without post-graduation qualification and with less years of experience.

Conclusions

Clinicians had predominantly positive attitudes towards including family during episodes of patient deterioration and perceived it to be a common day-to-day practice. Gender, profession, country of birth, education level and years of experience all impacted on clinician attitudes, beliefs and perceptions of family presence during acute deterioration.