Nursing and Written Policy Positions
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The American Association of Critical Care Nurses (AACN) position is that all ICUs should have a written policy allowing the option for family members to be present during resuscitation and invasive procedures (Knight, 2004). The AACN supports the Emergency Nurses Association (ENA) position statement of 1994, revised in 2001, on the presence of family during resuscitation. The policy lets everyone who comes to the unit know the culture of the institution. A recent study conducted by the AACN and ENA showed that only about five percent of critical care and emergency nurses surveyed were aware of a policy allowing family presence during CPR and invasive procedures at their hospitals, even though the public has overwhelmingly expressed a wish to be present. Not having a written policy causes confusion between nurses on different shifts and family members. It is documented in the literature that being present at resuscitation and invasive procedures can help family members process their perceptions of adverse outcomes and leaves fewer unanswered questions, but there may be cultural differences in the acceptance of such practices which must be respected (Knight, 2004). Family members also may not want to be present for all procedures because some may, for example, not wish to see blood. Many facilities do not want family members present at these occasions because of the fear of malpractice lawsuits. Family members may also obstruct the staff in their duties
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t helped relieve their doubts about the patient's condition, and seeing everything being done decreased their anxiety and fear about what was being done to their loved one. If death occurred, they felt it gave them a sense of closure and facilitated the grief process. Between 94 percent and 100 percent of families who had gone through this experience said they would do it again. No studies so far have found any negative outcomes to patients, or psychological effects on the family members.
The American Heart Association (AHA) put forth guidelines in 2000 which favor the presence of family members during CPR (AHA, 2000). This was the first time that doctors and other healthcare professionals had considered giving family members a choice of remaining with their relatives during CPR efforts, whether they were in a hospital or out in the community. The guidelines impacted every CPR action in the United States when they were issued in the International CPR Guidelines 400-page book. They reasoned that the presence of family during CPR was a way of addressing the wishes of an individual at the end of life, and at the same time meeting the psychological needs of the family.
In surveying healthcare professionals, it was found t
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CPR Guidelines, CPR ENA, CPR Emergency, Torrington Uyehara, AACN ENA, AHA AHA, Pugh Warren, CPR Follow-up, family presence, CPR AHA, San Francisco, invasive procedures, cpr invasive procedures, cpr invasive, healthcare professionals, presence family, family cpr, critical care, family resuscitation, presence cpr, written policy, family presence cpr, presence family cpr, mcclenathan torrington uyehara, retrieved mar 23,
Approximate Word count = 2520
Approximate Pages = 10 (250 words per page)
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