Abstract 187: Code Team Members’ Perception of Family Presence During Cardiopulmonary Resuscitation at an Academic Medical Center
INTRO: Despite increased acceptance, barriers remain for family presence during cardiopulmonary resuscitation (CPR). Few have focused on the entire code response team. Our objective was to determine the perceived role of family presence, its benefit to patients and/or the code team, and barriers to implementation. We hypothesized that perceptions of family presence would vary by team member role.
Methods: We conducted an IRB approved survey at an urban academic Level 1 trauma center during August, 2012. Subjects were members of the adult or pediatric code teams, including chaplains, clinical care techs (CCTs), registered nurses (RNs), advanced practice nurses (APNs), physicians, pharmacists, patient equipment techs, security officers, and respiratory therapists. A convenience sample was asked to complete an online family presence survey tool adapted with permission from Nykiel et al. Most responses used a five point likert scale ranging from strongly disagree (1) to strongly agree (5).
Results: Five hundred eighty-eight of 3000 staff responded. They were 78% RNs and 25% adult critical care. Seventy percent had participated in family presence situations. More RNs, physicians, CCTs, and chaplains felt that family presence during CPR was part of their job (mean 4.1, 3.6, 3.6, 4.2 respectively) compared to respiratory therapists, pharmacists, security, and patient equipment techs (mean 2.2, 2.0, 1.5 respectively). Similarly, more RNs, physicians, CCTs, and chaplains felt comfortable providing emotional support to family members during CPR (mean 3.7, 4.1, 3.3, 4.2 respectively) compared to respiratory therapists, pharmacists, security, and patient equipment techs (mean 2.8, 1.9, 2.0, 1.8 respectively). Overall, they felt family presence benefits the family (72%), patients (59%) and the code team (41%). Perceived barriers were lack of space, increased staff stress, staff objections, interruptions of care, and lack of identified support person (72, 68, 56, 48, 44% respectively).
CONCLUSION: Code team members have varied perceptions about family presence during CPR depending upon their role. This suggests that specific education strategies for the entire code team may be necessary to improve the family presence experience.
- © 2013 by American Heart Association, Inc.