Transcript Family Presence Presentation - American Association of Critical

Family Presence During
Resuscitation and Invasive
Procedures
Issued April 2010
Expected Practice
Family members* of all patients
undergoing resuscitation and invasive
procedures should be given the option
of being present at the bedside.
(Evidence Level B)
* Family members are those individuals who are relatives or significant
others with whom the patient shares an established relationship.
Family Presence During Resuscitation and
Invasive Procedures
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Expected Practice
Approved written
practice document
(i.e., policy,
procedure, or
standard of care)
for family presence
(Evidence Level D)
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Invasive Procedures
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Scope and Impact of the
Problem
 Family presence is beneficial to patients, families
and staff.
 Meeting needs in time of crisis exemplifies care
driven by the patients and families.
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Invasive Procedures
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Supporting Evidence
50% to 96% of
consumers believe
that family members
should be offered
the opportunity to
be present
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Invasive Procedures
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Supporting Evidence
Only 5% of critical care unit in the U.S.
have written policies allowing family
presence.
Most critical care nurses have brought
families to the bedside, despite the lack
of formal hospital policies.
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Invasive Procedures
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Supporting Evidence —
Benefits
For patients:
Almost all children want to have their
parents present during medical
procedures
Adult patients report that having family
members at the bedside comforted and
helped them.
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Invasive Procedures
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Supporting Evidence —
Benefits
For family members:
Removed doubt about the patient’s
condition
Witnessing that everything possible was
done
Decreased their anxiety and fear
Facilitated their need to be together
Facilitated a sense of closure
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Invasive Procedures
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Supporting Evidence
94% to 100% of families would do so
again
No patient care disruptions
No negative outcomes during family
presence events
No adverse psychological effects
among family members
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Invasive Procedures
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Actions for Nursing Practice
Ensure that your
healthcare facility
has written policies
and procedures that
support family
presence during
resuscitation and
invasive
procedures.
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Invasive Procedures
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Actions for Nursing Practice
Policies, procedures, and educational
programs should include:
Benefits of family presence.
Criteria for assessing the family.
Role of the family facilitator in preparing
families.
Handling the development of untoward
reactions by family members.
Support for patient’s or family members’
decision not to have family present.
Contraindications to family presence.
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Invasive Procedures
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Actions for Nursing Practice
Develop proficiency
standards for all
staff.
Determine your
unit’s rate of
compliance.
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Invasive Procedures
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Actions for Nursing Practice
If compliance is <90%, develop a plan to
improve compliance:
A multidisciplinary task force or a unit core group
of staff.
Re-educate staff about family presence.
Incorporate into orientation programs and annual
competencies.
Develop a variety of communications strategies.
Develop documentation standards for family
presence.
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Invasive Procedures
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For More Information
Practice Alerts are online at
www.aacn.org.
For additional information / assistance
go to the Practice Resource Network at
www.aacn.org.
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Invasive Procedures
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Resources
Presenting the Option of Family
Presence. Product #120632 is available
online at www.aacn.org
American College of Chest Physician’s
Critical Care Family Assistance
Program. Product #120631 is available
online at www.aacn.org
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Invasive Procedures
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