Date

9-19-2023

Department

School of Nursing

Degree

Doctor of Philosophy

Chair

Martha Baker

Keywords

FPDR, Family Presence, Resuscitation, Nursing, Lived Experiences, Nurses, Family Presence during Resuscitation, curriculum

Disciplines

Education | Nursing

Abstract

Death is inevitable, but dying alone can be an agonizing prospect for patients and their families. Family presence during resuscitation (FPDR) is a controversial but evidence-based concept that helps relieve some of the fear and anxiety for the family. Sadly, loved ones are often not allowed to be with the patient during resuscitation. FPDR importance is typically taught within the healthcare setting but still lacks implementation. By starting education while healthcare students are in a higher learning setting, this concept has a higher probability of success. To fill the gap concerning FPDR, this researcher interviewed nurses who have witnessed FPDR. The study utilized a qualitative hermeneutic phenomenology with a constructivist lens. The investigation explored themes and patterns as to why FPDR may not be carried out. The emerging themes were permission, support and communication, compromised care, patient/family-centered care, bereavement, and situational dependence. The most common theme was support and communication. Each participant recognized the importance of the concept but also stated it should be considered on a case-by-case basis. The themes matched similar studies on the concept and provided insight into ways to improve policy and practice, as well as positively influencing key stakeholders. Lastly, nurse educators can enhance nursing education in the future based on these findings. These educational changes would include curriculum additions and enhancements that will show future nurses that following evidence-based research will advance nursing knowledge and improve their ability to critically think while providing quality, holistic care for patients and families.

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