Academic Journal
Developing a Decision Pathway for Family Presence During Resuscitation
| Title: | Developing a Decision Pathway for Family Presence During Resuscitation |
|---|---|
| Authors: | Carolina Dimsdale Tennyson, John P. Oliver, Karen Roussel Jooste |
| Source: | Dimensions of Critical Care Nursing. 42:163-170 |
| Publisher Information: | Ovid Technologies (Wolters Kluwer Health), 2023. |
| Publication Year: | 2023 |
| Subject Terms: | Inpatients, Attitude of Health Personnel, Resuscitation, Decision Making, Humans, Family, Visitors to Patients, Cardiopulmonary Resuscitation, 3. Good health |
| Description: | Background The standard of care for family presence during resuscitation (FPDR) is evolving, and leading organizations collectively recommend establishing institutional policy for its practice. Although FPDR is supported at this single institution, the process was not standardized. Methods An interprofessional group authored a decision pathway to standardize the care of families during inpatient code blue events at one institution. The pathway was reviewed and applied in code blue simulation events to highlight the role of the family facilitator and the importance of interprofessional teamwork skills. Results The decision pathway is a patient-centered algorithm that promotes safety and family autonomy. Pathway recommendations are shaped by current literature, expert consensus, and existing institutional regulations. An on-call chaplain responds to all code blue events as the family facilitator and conducts assessments and decision making per the pathway. Clinical considerations include patient prioritization, family safety, sterility, and team consensus. One year after implementation, staff felt that it positively affected patient and family care. The frequency of inpatient FPDR did not increase after implementation. Conclusion As a result of the decision pathway implementation, FPDR is consistently a safe and coordinated option for patients' family members. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1538-8646 0730-4625 |
| DOI: | 10.1097/dcc.0000000000000577 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/36996362 |
| Accession Number: | edsair.doi.dedup.....54f6621c64175e2b524ec902cb0520d2 |
| Database: | OpenAIRE |
| ISSN: | 15388646 07304625 |
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| DOI: | 10.1097/dcc.0000000000000577 |