Abstract
Aims:
To describe the impact of family member presence on student nurse performance in a witnessed resuscitation scenario.
To explore student nurses’ attitudes to simulated family witnessed resuscitation and their views about its place in clinical practice.
Background:
Family witnessed resuscitation remains controversial worldwide. Hospital implementation remains inconsistent despite professional organisation support. Systematic reviews of international literature indicate family members wish to be involved and consulted; healthcare professionals express concerns about being observed while resuscitating. Student nurse perspectives have not been addressed.
Design:
qualitative, focus groups
Methods:
Participants: UK university second-year student nurses (n=48) who participated in simulated resuscitation scenarios (either family member absent, or present but quiet, or present but distressed). Data generation 2014: Focus group interview schedule - five open-ended questions and probing techniques. Audio recordings transcribed; analysed thematically. Research ethics approval via University Research Ethics committee.
Findings:
Overarching theme = students’ sense making – making sense of situation (practically/professionally), of themselves (their skills/values), and of others (patients/family members). Students identify as important – team leader allocating tasks, continuity of carer, and number of nurses needed. Three orientations to practice identified and explored -includes rule following, guidance from personal/proto-professional values, and paternalistic protectionism.
Discussion:
We explore issues of students’ fluency of response and skills repertoire to support family witnessed resuscitation; explanatory potential to account for the inconsistent uptake of family witnessed resuscitation. Possible future lines of inquiry include family members’ gaze as a motivational trigger, and management of guilt.
To describe the impact of family member presence on student nurse performance in a witnessed resuscitation scenario.
To explore student nurses’ attitudes to simulated family witnessed resuscitation and their views about its place in clinical practice.
Background:
Family witnessed resuscitation remains controversial worldwide. Hospital implementation remains inconsistent despite professional organisation support. Systematic reviews of international literature indicate family members wish to be involved and consulted; healthcare professionals express concerns about being observed while resuscitating. Student nurse perspectives have not been addressed.
Design:
qualitative, focus groups
Methods:
Participants: UK university second-year student nurses (n=48) who participated in simulated resuscitation scenarios (either family member absent, or present but quiet, or present but distressed). Data generation 2014: Focus group interview schedule - five open-ended questions and probing techniques. Audio recordings transcribed; analysed thematically. Research ethics approval via University Research Ethics committee.
Findings:
Overarching theme = students’ sense making – making sense of situation (practically/professionally), of themselves (their skills/values), and of others (patients/family members). Students identify as important – team leader allocating tasks, continuity of carer, and number of nurses needed. Three orientations to practice identified and explored -includes rule following, guidance from personal/proto-professional values, and paternalistic protectionism.
Discussion:
We explore issues of students’ fluency of response and skills repertoire to support family witnessed resuscitation; explanatory potential to account for the inconsistent uptake of family witnessed resuscitation. Possible future lines of inquiry include family members’ gaze as a motivational trigger, and management of guilt.
| Original language | English |
|---|---|
| Pages (from-to) | 73-77 |
| Journal | BMJ Simulation and Technology Enhanced Learning |
| Volume | 2 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 24 Jun 2016 |
Keywords
- family witnessed resuscitation
- simulation
- qualitative research
- student nurses
- resuscitation
- nursing