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Family presence during in-hospital cardiopulmonary resuscitation: effects of an online intervention on self-confidence and attitudes of healthcare professionals
Linköping University, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (iCARE)ORCID iD: 0000-0001-7865-3480
Linköping University, Sweden.
Linköping University, Sweden.
2024 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 23, no 5, p. 486-496Article in journal (Refereed) Published
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages
Abstract [en]

Aims

Guidelines support family-witnessed resuscitation (FWR) during cardiopulmonary resuscitation in hospital if deemed to be safe, yet barriers amongst healthcare professionals (HCPs) still exist. This study aimed to evaluate the effects of an educational online video intervention on nurses’ and physicians’ attitudes towards in-hospital FWR and their self-confidence in managing such situations.

Methods and results

A pre- and post-test quasi-experimental study was conducted October 2022 to March 2023 at six Swedish hospitals involving the departments of emergency care, medicine, and surgery. The 10 min educational video intervention was based on previous research covering the prevalence and outcome of FWR, attitudes of HCP, patient and family experiences, and practical and ethical guidelines about FWR. In total, 193 accepted participation, whereof 91 answered the post-test survey (47.2%) with complete data available for 78 and 61 participants for self-confidence and attitudes, respectively. The self-confidence total mean scores increased from 3.83 to 4.02 (P < 0.001) as did the total mean scores for attitudes towards FWR (3.38 to 3.62, P < 0.001). The majority (71.0%) had positive views of FWR at baseline and had experiences of in hospital FWR (58.0%). Self-confidence was highest amongst participants for the delivery of chest compressions (91.2%), defibrillation (88.6%), and drug administration (83.3%) during FWR. Self-confidence was lowest (58.1%) for encouraging and attending to the family during resuscitation.

Conclusion

This study suggests that a short online educational video can be an effective way to improve HCP’s self-confidence and atti- tudes towards the inclusion of family members during resuscitation and can support HCP in making informed decisions about FWR.

Place, publisher, year, edition, pages
Oxford University Press, 2024. Vol. 23, no 5, p. 486-496
Keywords [en]
Attitudes, Education, Family-witnessed resuscitation, Healthcare professionals, In-hospital cardiac arrest, Self- confidence
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-126180DOI: 10.1093/eurjcn/zvad111ISI: 001134819600001Scopus ID: 2-s2.0-85199127404OAI: oai:DiVA.org:lnu-126180DiVA, id: diva2:1823571
Available from: 2024-01-02 Created: 2024-01-02 Last updated: 2024-09-26Bibliographically approved

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Bremer, Anders

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