Beruflich Dokumente
Kultur Dokumente
During
Resuscitation
Jese Broersma
Background
1982- Foote Hospital in Jackson, Michigan
Family members refused to leave the bedside on 2 separate occasions
Research has been conducted to determine the impact of family and health care
workers as well as resuscitation outcomes
Staff perceptions
Traumatizing to family
Inability to perform life-saving procedures
Family interfering with care
Increased stress among staff
Humanizes patient/Raw emotion
Culture change
Staffing Needs
Leske, McAndrew, & Brasel, 2013; Jensen, & Kosowan, 2011; Lowry, 2012; Wolf, Storer, & Brim, 2012;
Davidson et al., 2011; Goldberger et al., 2015
Ethical Considerations
Cultural Considerations
Attitudes towards death differ among cultures
Spiritual Considerations
Emotional, psychosocial, and spiritual support
Most feel comfortable providing support
Ethical Considerations
Beneficence
Family should be considered
Psychological benefits for family
Everything is being done
(Jabre et al., 2014; Wolf, Storer, & Brim, 2012; Beauchamp & Childress, 2013)
Measured Outcomes
Retrospective Data Collection
Education to be provided to RN staff during annual skills testing
Education to be provided to MD staff during monthly meeting
Data will be collected 3 months after initiation of practice change
All patients that received resuscitation efforts will be included
Groups compared
Family present
Family not present
Trained psychologist perform follow-up phone interviews
DSM-IV criteria for major depressive episode
impact of event scale (IES)
hospital anxiety and depression scale (HADS)
inventory of complicated grief (ICG)
structured diagnosis of a major depressive episode (MINI)
(Powers, & Candela, 2017; Wolf, Storer, & Brim, 2012; Jensen, & Kosowan, 2011; Jabre et al., 2014)