Kontakt 2021, 23(4):256-262 | DOI: 10.32725/kont.2021.050

Factors associated with nurses' perceptions and self-confidence in relation to family presence during resuscitation: a cross-sectional study in IndonesiaNursing - Original article

Ira Rahmawati1, *, Ade Dilaruri2, 3, Rosmalinda2, Lingling Marinda Palupi1, Esti Widiani1
1 Politeknik Kesehatan Kemenkes Malang, Department of Nursing, Malang, East Java, Indonesia
2 Arifin Achmad General Hospital, Pekanbaru, Riau Province, Indonesia
3 Universitas Riau, Faculty of Nursing, Pekanbaru, Riau Province, Indonesia

Background: The presence of family during resuscitation attempts provides moral and religious support for the patient. It also strengthens the relationship between the family and the health care team, as well as the patients. However, the implementation of this practice remains unclear. Purpose: This study aimed to explore the nurses' perception and their self-confidence in relation to family presence during resuscitation in Indonesia, in order to adapt the Indonesian version of the Family Presence Risk-Benefit Scale and Family Presence Self-Confidence Scale tools.

Methods: The study was cross-sectional, using the Indonesian version of the Family Presence Risk-Benefit Scale and Family Presence Self-Confidence Scale tools.

Results: 174 nurses working in the intensive care/intensive cardiac care unit and emergency room at a tertiary referral hospital in Riau Province of Indonesia completed the questionnaire, including the opinion-based questions. Our respondents had neither positive nor negative perceptions of family presence during resuscitation (mean score 3.37; SD 1.00). The Pearson r correlation test showed that nurses who perceived more benefits of this practice are more confident when it comes to implementing it (r = 0.618; P-value 0.000). We found that the only demographic factor determining the nurses' attitudes toward family-witnessed resuscitation was the number of times they had been involved in a resuscitation scenario.

Conclusions: A high self-confidence score in implementing family-witnessed resuscitation was found among our respondents. In fact, most of them had invited family members to witness the resuscitation attempt. However, the nurses had a neutral attitude toward family presence during resuscitation. This study also suggests that nurses will likely support this practice when other doctors also support it.

Keywords: Family presence during resuscitation; Family-witnessed resuscitation; Nurses' perceptions
Conflicts of interest:

The authors have no conflict of interests to declare and did not receive any funding for this study.

Received: June 15, 2021; Revised: September 11, 2021; Accepted: November 12, 2021; Prepublished online: November 19, 2021; Published: December 6, 2021  Show citation

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Rahmawati I, Dilaruri A, Rosmalinda, Palupi LM, Widiani E. Factors associated with nurses' perceptions and self-confidence in relation to family presence during resuscitation: a cross-sectional study in Indonesia. Kontakt. 2021;23(4):256-262. doi: 10.32725/kont.2021.050.
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    References

    1. Al-Mutair AS, Plummer V, Copnell B (2012). Family Presence During Resuscitation: A Descriptive Study of Nurses' Attitudes from Two Saudi Hospitals. Nurs Crit Care 17(2): 90-98. DOI: 10.1111/j.1478-5153.2011.00479.x. Go to original source... Go to PubMed...
    2. Al Bshabshe AA, Al Atif MY, Bahis MA, Asiri AM, Asseri AM, Hummadi AA, et al. (2020). Physicians' Characteristics Associated with Their Attitude to Family Presence During Adult Cardiopulmonary Resuscitation. BioMed Res Int 2020: 4634737. DOI: 10.1155/2020/4634737. Go to original source... Go to PubMed...
    3. Bellali T, Manomenidis G, Platis C, Kourtidou E, Galanis P (2020). Factors Associated with Emergency Department Health Professionals' Attitudes toward Family Presence During Adult Resuscitation in 9 Greek Hospitals. Dimens Crit Care Nurs 39(5): 269-277. DOI: 10.1097/dcc.0000000000000417. Go to original source... Go to PubMed...
    4. Bradley C, Keithline M, Petrocelli M, Scanlon M, Parkosewich J (2017). Perceptions of Adult Hospitalized Patients on Family Presence During Cardiopulmonary Resuscitation. Am J Crit Care 26(2): 103-110. DOI: 10.4037/ajcc2017550. Go to original source... Go to PubMed...
    5. Chapman R, Watkins R, Bushby A, Combs S (2012). Family-Witnessed Resuscitation: Perceptions of Nurses and Doctors Working in an Australian Emergency Department. ISRN Emerg Med 2012: 1-10. DOI: 10.5402/2012/369423. Go to original source...
    6. Clark AP, Guzzetta CE, O'Connell KJ (2013). Family Presence During Resuscitation Attempts Is Associated with Positive Psychological Effects for the Observers. Evid Based Mental Health 16(3): 78. DOI: 10.1136/eb-2013-101354. Go to original source... Go to PubMed...
    7. De Mingo-Fernández E, Belzunegui-Eraso Á, Jiménez-Herrera M (2021). Family Presence During Resuscitation: Adaptation and Validation into Spanish of the Family Presence Risk-Benefit Scale and the Self-Confidence Scale Instrument. BMC Health Serv Res 21(1): 221. DOI: 10.1186/s12913-021-06180-2. Go to original source... Go to PubMed...
    8. De Stefano C, Normand D, Jabre P, Azoulay E, Kentish-Barnes N, Lapostolle F, et al. (2016). Family Presence During Resuscitation: A Qualitative Analysis from a National Multicenter Randomized Clinical Trial. PLoS One 11(6): e0156100-e0156100. DOI: 10.1371/journal.pone.0156100. Go to original source... Go to PubMed...
    9. Egging D, Crowley M, Arruda T, Proehl J, Walker-Cillo G, Papa A, et al. (2011). Emergency Nursing Resource: Family Presence During Invasive Procedures and Resuscitation inthe Emergency Department. J Emerg Nurs 37(5): 469-473. DOI: 10.1016/j.jen.2011.04.012. Go to original source... Go to PubMed...
    10. Ganz FD, Yoffe F (2012). Intensive Care Nurses' Perspectives of Family-Centered Care and Their Attitudes toward Family Presence During Resuscitation. J Cardiovasc Nurs 27(3): 220-227. DOI: 10.1097/JCN.0b013e31821888b4. Go to original source... Go to PubMed...
    11. Gutysz-Wojnicka A, Ozga D, Dyk D, Mędrzycka-Dąbrowska W, Wojtaszek M, Albarran J (2018). Family Presence During Resuscitation - the Experiences and Views of Polish Nurses. Intensive Crit Care Nurs 46: 44-50. DOI: 10.1016/j.iccn.2018.02.002. Go to original source... Go to PubMed...
    12. Holzhauser K, Finucane J (2007). Staff Attitudes to Family Presence During Resuscitation: Part A: An Interventional Study. Australas Emerg Nurs J 10(3): 124-133. DOI: 10.1016/j.aenj.2007.06.001. Go to original source...
    13. Jabre P, Belpomme V, Azoulay E, Jacob L, Bertrand L, Lapostolle F, et al. (2013). Family Presence During Cardiopulmonary Resuscitation. N Engl J Med 368: 1008-1018. DOI: 10.1056/NEJMoa1203366. Go to original source... Go to PubMed...
    14. Joyner Jr., BL (2018). Does Family Presence in the Trauma Bay Help or Hinder Care? AMA J Ethics 20(5): 507-512. DOI: 10.1001/journalofethics.2018.20.5.sect1-1805. Go to original source... Go to PubMed...
    15. Lederman Z, Wacht O (2014). Family Presence During Resuscitation: Attitudes of Yale-New Haven Hospital Staff. Yale J Biol Med 87(1): 63-72.
    16. Leske JS, McAndrew NS, Brasel KJ (2013). Experiences of Families When Present During Resuscitation in the Emergency Department after Trauma. J Trauma Nurs 20(2): 77-85. DOI: 10.1097/JTN.0b013e31829600a8. Go to original source... Go to PubMed...
    17. Leske JS, McAndrew NS, Brasel KJ, Feetham S (2017). Family Presence During Resuscitation after Trauma. J Trauma Nurs 24(2): 85-96. DOI: 10.1097/JTN.0000000000000271. Go to original source... Go to PubMed...
    18. Leung NY, Chow SK (2012). Attitudes of Healthcare Staff and Patients' Family Members Towards Family Presence During Resuscitation in Adult Critical Care Units. J Clin Nurs 21(13-14): 2083-2093. DOI: 10.1111/j.1365-2702.2011.04013.x. Go to original source... Go to PubMed...
    19. Masa'Deh R, Saifan A, Timmons S, Nairn S (2014). Families' Stressors and Needs at Time of Cardio-Pulmonary Resuscitation: A Jordanian Perspective. Glob J Health Sci 6(2): 72-85. DOI: 10.5539/gjhs.v6n2p72. Go to original source... Go to PubMed...
    20. Mortelmans LJ, Van Broeckhoven V, Van Boxstael S, De Cauwer HG, Verfaillie L, Van Hellemond PL, et al. (2010). Patients' and Relatives' View on Witnessed Resuscitation in the Emergency Department: A Prospective Study. Eur J Emerg Med 17(4): 203-207. DOI: 10.1097/MEJ.0b013e328331477e. Go to original source... Go to PubMed...
    21. Niemczyk E, Ozga D (2019). Attitudes of Intensive Care Unit Nurses to Family Involvement and Their Presence During Cardiopulmonary Resuscitation: What Should Be Done to Make Family Presence During Cardiopulmonary Resuscitation a Common Practice in Hospitals? Dimens Crit Care Nurs 38(2): 113-114. DOI: 10.1097/DCC.0000000000000345. Go to original source... Go to PubMed...
    22. Pae K, Andarini S, Lestari R (2015). Studi Fenomenologi: Pengalaman Keluarga Dalam Mendampingi Pasien Saat Proses Resusitasi Di Instalasi Gawat Darurat RSUD Dr. Saiful Anwar Malang. Wiraraja Medika 5(2).
    23. Porter J, Cooper SJ, Sellick K (2013). Attitudes, Implementation and Practice of Family Presence During Resuscitation (FPDR): A Quantitative Literature Review. Int Emerg Nurs 21(1): 26-34. DOI: 10.1016/j.ienj.2012.04.002. Go to original source... Go to PubMed...
    24. Powers K, Reeve CL (2018). Factors Associated with Nurses' Perceptions, Self-Confidence, and Invitations of Family Presence During Resuscitation in the Intensive Care Unit: A Cross-Sectional Survey. Int J Nurs Stud 87: 103-112. DOI: 10.1016/j.ijnurstu.2018.06.012. Go to original source... Go to PubMed...
    25. Powers K, Reeve CL (2020). Original Research: Family Presence During Resuscitation: Medical-Surgical Nurses' Perceptions, Self-Confidence, and Use of Invitations. Am J Nurs 120(11): 28-38. DOI: 10.1097/01.NAJ.0000721244.16344.ee. Go to original source... Go to PubMed...
    26. Pratiwi ID (2018). Family Presence During Resuscitation: Patient and Family Members' Preferences and Attitudes. Int J Res Med Sci 6(2): 394-400. DOI: 10.18203/2320-6012.ijrms20180275. Go to original source...
    27. Sak-Dankosky N, Andruszkiewicz P, Sherwood PR, Kvist T (2018). Health Care Professionals' Concerns Regarding in-Hospital Family-Witnessed Cardiopulmonary Resuscitation Implementation into Clinical Practice. Nurs Crit Care 23(3): 134-140. DOI: 10.1111/nicc.12294. Go to original source... Go to PubMed...
    28. Sak-Dankosky N, Andruszkiewicz P, Sherwood PR, Kvist T (2019). Preferences of Qualitative Perspective of Intensive Care Patients' Family Members. Intensive Crit Care Nurs 50: 95-102. DOI: 10.1016/j.iccn.2018.04.001. Go to original source... Go to PubMed...
    29. Tudor K, Berger J, Polivka BJ, Chlebowy R, Thomas B (2014). Nurses' Perceptions of Family Presence During Resuscitation. Am J Crit Care 23(6): e88-e96. DOI: 10.4037/ajcc2014484. Go to original source... Go to PubMed...
    30. Twibell R, Siela D, Riwitis C, Neal A, Waters N (2018). A Qualitative Study of Factors in Nurses' and Physicians' Decision-Making Related to Family Presence During Resuscitation. J Clin Nurs 27(1-2): e320-e334. DOI: 10.1111/jocn.13948. Go to original source... Go to PubMed...
    31. Twibell RS, Siela D, Riwitis C, Wheatley J, Riegle T, Bousman D, et al. (2008). Nurses' Perceptions of Their Self-Confidence and the Benefits and Risks of Family Presence During Resuscitation. Am J Crit Care 17(2): 101-111; quiz 112. Go to original source... Go to PubMed...
    32. Wacht O, Dopelt K, Snir Y, Davidovitch N (2010). Attitudes of Emergency Department Staff toward Family Presence During Resuscitation. Isr Med Assoc J 12(6): 366-370. Go to PubMed...
    33. Zali M, Hassankhani H, Powers KA, Dadashzadeh A, Rajaei Ghafouri R (2017). Family Presence During Resuscitation: A Descriptive Study with Iranian Nurses and Patients' Family Members. Int Emerg Nurs 34: 11-16. DOI: 10.1016/j.ienj.2017.05.001. Go to original source... Go to PubMed...

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