Essential of Evidence Based Practice week 1 response 1 – Deciding to end life-saving measures can be very difficult for the “team” and also the family.
Essay
1 Page Double
Nursing
Academic Level Master
Style APA
Number of sources 4
Order description:
Respond to the other students post in one of the following ways Ask a probing question, substantiated with additional background information, and evidence.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional sources.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional strategies for addressing barriers to EBP based on readings and evidence
Deciding to end life-saving measures can be very difficult for the “team” and also the family. Families often think that the resuscitation team did not work long enough for the patient or did not do “everything” possible to save the patients life. The emergency room I work at is trying to involve family presence at the bedside during resuscitation, this way the family sees the effort the team is putting into the patient, they can see how brutal CPR can be. On the negative side, healthcare members were concerned that involving the family would cause the “family to be traumatized, the potential for the family to disrupt the resuscitating efforts” (Twibell, Siela, Neal, Waters & Riwitis, n.d). The benefits of family presence at the bedside is it “meet the needs of patients, families, and staff by providing consistent, safe, and caring practices for all involved in the resuscitation process” (Madden & Condon, 2007).
When using EBP practice to implement a new policy in the hospital, the decisions are “best made among a team or nurses working together to solve a common clinical problem” (Pilot & Beck, 2017 Pg. 38). My PICOT question would be “In the emergency room is the presence of family appropriate during an active resuscitation helpful with coping?” A barrier to the PICOT would be having family members or staff members that are highly against family presence. Another barrier that I think could come up is allowing the family to be involved, is this a violation of patient rights? I think there is an excellent opportunity for research to be conducted on this subject.
References
Madden, E., & Condon, C. (2007). Research: Emergency Nurses’ Current Practices and Understanding of Family Presence During CPR. Journal Of Emergency Nursing, 33433-440. doi:10.1016/j.jen.2007.06.024
Pilot, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA.: Wolters Kluwer.
Twibell, R., Siela, D., Neal, A., Waters, N., & Riwitis, C. (n.d). A qualitative study of factors in nurses’ and physicians’ decision-making related to family presence during resuscitation. Journal Of Clinical Nursing, 27(1-2), E320-E334.
