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The Impact of Education on Provider Attitudes Toward Family-Witnessed Resuscitation
Abstract
Introduction The majority of acute care facilities have not developed policies or guidelines to facilitate family presence during cardiopulmonary resuscitation. Prior studies have shown that the personal beliefs and attitudes of hospital personnel involved in resuscitation efforts are the primary reasons family presence is not offered. Methods This 2-phase, before/after study was conducted in a 388-bed academic trauma center, and in a 143-bed community hospital in eastern Washington State in 2008. In phase I, a convenience sample of physicians and registered nurses from both facilities were surveyed about their opinions and beliefs regarding family-witnessed resuscitation (FWR). Spearman's rho and independent t-tests were used to compare support of FWR between and within roles and practice location subgroups. In phase II of the study, clinician subgroups in the community hospital were re-surveyed following an educational program that used evidence-based information. Independent t-test and one-way ANOVA were used to compare pre and post-education mean scores of subgroups on indicators of effective teaching strategies and improved FWR support. Results Opinions on FWR vary within and between practice roles and locations, with the strongest variable of support being prior experience with FWR. Following FWR education, mean scores improved for survey variables chosen as indicators of FWR support and teaching effectiveness. Discussion When CPR providers are presented with FWR education, their opinion-based beliefs may be modified, decreasing barriers to family witnessed resuscitation and improving overall support of FWR as an extension of family-centered care.
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Metadata
- Authors
- Feagan, L. M., & Fisher, N. J.
- Venue
- Journal of Emergency Nursing
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 37
- Issue
- 3
- Pages
- 231-239
- ISSN
- 0099-1767 (ISSN-L)
- OpenAlex
- W2022656987
- Cited by
- 56
- References
- 26
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 3 · 2021: 5 · 2020: 3 · 2019: 4 · 2018: 6 · 2017: 7 · 2016: 4 · 2015: 6 · 2014: 4 · 2013: 1 · 2012: 6
- FWCI
- 5.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- Locations
- Journal of Emergency Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Family and Patient Care in Intensive Care Units
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Keywords
- family-witnessed resuscitation, provider attitudes, clinician education, family-centered care, trauma centers, community hospitals
- MeSH terms
- Adult, Attitude of Health Personnel, Critical Care, Family, Female, Humans, Male, Organizational Innovation, Washington, Clinical Nursing Research, Cardiopulmonary Resuscitation, Patient-Centered Care
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