Browsing by Author "Russell, Hanilene Juliana"
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- ItemExploring the perceptions of medical officers and registered nurses about family presence during cardiopulmonary resuscitation(Stellenbosch : Stellenbosch University, 2020-03) Russell, Hanilene Juliana; Hector, Dawn; Bell, Janet; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.ENGLISH SUMMARY : Background: In emergency units, cardiopulmonary resuscitation (CPR) occurs daily as a life- saving intervention for crittically ill patients. Traditionally, families are told to wait outside when CPR commences. Family presence during CPR is when one or more family members witness all interventions performed and who provides physical or visual contact to the patient during the resuscitation event. Ever since family members requested to be present during CPR in 1980’s at Foote Memorial Hospital in Michigane America, to allow this practice has been a controversial concept amongst healthcare providers. In a secondary provincial hospital in the Western Cape of South Africa, family members are mostly not allowed, or are seldom offered the opportunity to be present during a resuscitative event as no standardised practice or protocol is in place. Some medical and nursing personnel conventiently do not allow family to witness the CPR on their family members, which create confusion amongst families, navigating away from facilitating family-centred care. Methods: A qualitative approach with an exploratory-descriptive design was utilised. Data was collected by a fieldworke using in-depth individual interviews with healthcare providers. A self-developed, semi-structured interview guide with openended questions and probes were used. A final total of 10 participants took part in the study after giving informed concent. Trustworthiness was maintained throughout the study. Member checking took place during the interviews to summarise the participants’ information as well as a follow-up meeting. Transcribing was done by the primary researcher. The data was analysed by the primary researcher who followed the content analysis process. Results: Five main themes surfaced from this analysis: Information communication; benefits and challenges of family presence; the family’s choices and reactions, types of CPR cases and the health professional’s professional’s interactions and skills during the CPR process. The findings of the research study illustrated the importance of communication to the family and to provide them with accurate information. The choices to be present or not to be present as well emotional reactions of the family have an impact on the decision to allow family to be present or not. The types of CPR cases and prognosis of the patient influences the decision to allow the family in the resuscitation room and the different reactions families can experience, have an impact on the decision to allow family to be present or not. The professional skills and interactions of the healthcare team are an important aspect that influences the decision to allow family to be present. Conclusion: The perceptions of medical officers and registerd nurses about family presence during cardiopulmonary resuscitation at a secondary hospital provide the emergency department with a deeper understanding and knowledge around family presence practices.