Family Witnessed Resuscitation: focus group inquiry into UK student nurse experiences of simulated resuscitation scenarios

David Pontin, Kenny Gerard, Issy Bray, John Albarran

Research output: Contribution to journalArticlepeer-review

583 Downloads (Pure)

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.
Original languageEnglish
Pages (from-to)73-77
JournalBMJ Simulation and Technology Enhanced Learning
Volume2
Issue number3
DOIs
Publication statusPublished - 24 Jun 2016

Keywords

  • family witnessed resuscitation
  • simulation
  • qualitative research
  • student nurses
  • resuscitation
  • nursing

Fingerprint

Dive into the research topics of 'Family Witnessed Resuscitation: focus group inquiry into UK student nurse experiences of simulated resuscitation scenarios'. Together they form a unique fingerprint.

Cite this