Abstract:
AIMS AND OBJECTIVES:To explore the similarities and differences in factors that influence nurses' and physicians' decision-making related to family presence during resuscitation. BACKGROUND:Despite the growing acceptance of family presence during resuscitation worldwide, healthcare professionals continue to debate the risks and benefits of family presence. As many hospitals lack a policy to guide family presence during resuscitation, decisions are negotiated by resuscitation teams, families and patients in crisis situations. Research has not clarified the factors that influence the decision-making processes of nurses and physicians related to inviting family presence. This is the first study to elicit written data from healthcare professionals to explicate factors in decision-making about family presence. DESIGN:Qualitative exploratory-descriptive. METHODS:Convenience samples of registered nurses (n = 325) and acute care physicians (n = 193) from a Midwestern hospital in the United States of America handwrote responses to open-ended questions about family presence. Through thematic analysis, decision-making factors for physicians and nurses were identified and compared. RESULTS:Physicians and nurses evaluated three similar factors and four differing factors when deciding to invite family presence during resuscitation. Furthermore, nurses and physicians weighted the factors differently. Physicians weighted most heavily the family's potential to disrupt life-saving efforts and compromise patient care and then the family's knowledge about resuscitations. Nurses heavily weighted the potential for the family to be traumatised, the potential for the family to disrupt the resuscitation, and possible family benefit. CONCLUSIONS:Nurses and physicians considered both similar and different factors when deciding to invite family presence. Physicians focused on the patient primarily, while nurses focused on the patient, family and resuscitation team. RELEVANCE TO CLINICAL PRACTICE:Knowledge of factors that influence the decision-making of interprofessional colleagues can improve collaboration and communication in crisis events of family presence during resuscitation.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Twibell R,Siela D,Riwitis C,Neal A,Waters Ndoi
10.1111/jocn.13948subject
Has Abstractpub_date
2018-01-01 00:00:00pages
e320-e334issue
1-2eissn
0962-1067issn
1365-2702journal_volume
27pub_type
杂志文章abstract::This article describes how the results of an audit of district nursing care plan documentation have been used to inform practice development in a community trust. The principle aim of the audit was to discover whether the evaluation of patient care was being adequately recorded in nursing care plans. To establish this...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.1999.00217.x
更新日期:1999-01-01 00:00:00
abstract:AIM:To clarify how perinatal anxiety is characterised within the current evidence base and discuss how a clearer definition and understanding of this condition may contribute to improving care provision by midwives and other healthcare professionals. BACKGROUND:Perinatal anxiety is common, occurs more frequently than ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.15497
更新日期:2020-12-01 00:00:00
abstract::This paper reviews the literature on nursing competence measurement and reports the results of a comparative quantitative study of the competencies of Project 2000 diplomates and BA (Hons) Adult Nursing graduates from two UK nursing programmes. The findings reveal that graduates appear to overcome any initial limitati...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2000.00331.x
更新日期:2000-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To identify and describe nonpharmacological interventions for the management of fatigue that are within the scope of nursing practice. BACKGROUND:Fatigue is a complex multidimensional symptom experienced by patients with varying diagnoses. Limited details are available on the nature of nursing inte...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12211
更新日期:2013-10-01 00:00:00
abstract::In Britain, nursing development units (NDUs) have provided a focus for change and innovation in nursing since the early 1980s. This paper explores the approaches to change in these areas of practice. A review of both the management of change and feminist literature has been conducted. By identifying the similarities b...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.1996.tb00244.x
更新日期:1996-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate the degree of improvement in the dysphagia and nutritional status of patients with brain injuries after removal of the nasogastric tube. BACKGROUND:The nurse should assess patients' dysphagia, after removal of the nasogastric tube, and immediately reflect the changes in patient care. Ac...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14226
更新日期:2018-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore chronic heart failure patients' perceptions of the burden related to treatment and self-care. BACKGROUND:Living with chronic heart failure entails following a demanding treatment regimen, with daily self-care, which could make patients vulnerable to experiencing treatment burden. Burden ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14799
更新日期:2019-05-01 00:00:00
abstract::This is the first of two articles providing an introduction to appraising published research critically. In this paper three styles of research are presented and the basic types of research objectives and designs are briefly described. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.1994.tb00393.x
更新日期:1994-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to investigate the prevalence of preoperative psychological distress and its relationship with coping style and quality of life in Chinese patients with newly diagnosed gastric cancer. BACKGROUND:Being newly diagnosed with cancer can be a source of psychological distre...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.12816
更新日期:2015-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study set out to explore the relationship between emotional work, emotional well-being and professional practice of generalist community health nurses who provided palliative care to clients living at home. BACKGROUND:Research suggests that palliative care practice is emotionally demanding and...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.02997.x
更新日期:2010-05-01 00:00:00
abstract:AIM:The aim of this study was to explore Chinese women's perceptions of maternal role competence and factors contributing to maternal role competence during early motherhood. BACKGROUND:Developing a sense of competence and satisfaction in the maternal role are considered critical components in maternal adaptation, whi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03415.x
更新日期:2011-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To test latent constructs of social influences, contraceptive attitude and self-efficacy for contraception as a causal model of contraceptive intention among adolescents and to search for possible gender differences in the causal model of contraceptive intention. BACKGROUND:A greater understanding ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02088.x
更新日期:2008-04-01 00:00:00
abstract:AIM AND OBJECTIVES:To explore the experience of pulmonary exacerbation from the perspective of adults with cystic fibrosis. BACKGROUND:While management of pulmonary exacerbations is a pillar of cystic fibrosis care, little is known of patients' perspectives. Understanding the patient's experience is essential for deve...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14646
更新日期:2019-01-01 00:00:00
abstract::Sedation which is used for intubated patients may prolong mechanical ventilation by increasing the risk of complications. The aim of the study was to illuminate the specific terminology and unrecognized contextual factors which may influence nurses' and physicians' sedation practices. The main research questions were:...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2002.00725.x
更新日期:2002-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To systematically review the common composition and the analytical methods performed to derive symptom clusters in patients receiving haemodialysis, and to examine their common predictive and outcome variables. BACKGROUND:Patients receiving haemodialysis may suffer from multiple and interactive sym...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13644
更新日期:2017-09-01 00:00:00
abstract:AIM AND OBJECTIVES:This correlation study examined the relationship among recently workplace violence, depressive tendency, social support, and resilience of victimised nurses, and we also tried to identify protective factors and potential targets for preventive interventions for these nurses. BACKGROUND:Workplace vio...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13309
更新日期:2016-09-01 00:00:00
abstract::This study was designed to identify the feelings and experiences of critical care nurses who have been involved in nursing brain dead patients prior to organ donation. The purpose of the study was to generate knowledge which informs the discipline of nursing. A number of themes relating to nurses' experiences of carin...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00447.x
更新日期:2001-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aims of this study were to (1) determine the differences in puberty and psychosocial adjustment among Taiwanese adolescent females with and without type 1 diabetes mellitus, and (2) examine the interaction between pubertal timing and diabetes in relation to its effect on adolescent's psychosocia...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03272.x
更新日期:2010-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore whether and how eHealth resources targeted to families during the perinatal period effectively reach a diverse population or further oppress marginalised groups. BACKGROUND:eHealth is often intended to reach a broad population, thus health content must be relatively generalised which lim...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.14592
更新日期:2018-11-01 00:00:00
abstract::Documentation of nursing care is an important source of reference and communication between nurses and other health care providers. This article describes a study of the documentation practices of nurses in a long-term care institution. Results revealed a number of positive aspects of nurses' documentation practices a...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.1999.00281.x
更新日期:1999-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:This article is a report of an analysis of the concept of dying with dignity. BACKGROUND:Dignity is an important component of providing care for dying patients and their families. Nevertheless, given that this concept is poorly defined, concept analysis is one of the best ways to define and clarify...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13143
更新日期:2016-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study aimed to explore the experiences of patients with difficult asthma, who take corticosteroid therapy, and provide insight into why some patients comply with therapy, whilst others do not. BACKGROUND:Asthma is growing in prevalence and affects more than 100 million people worldwide. Cortic...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01750.x
更新日期:2007-03-01 00:00:00
abstract::The reason for the present uncertainty in defining nursing competency is analysed. The prevailing educational philosophy underpinning nursing preparation for competence is subjected to a critique. The effect and outcome of this philosophy on clinical supervision, PREP and the law are considered in relation to nursing ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:
更新日期:1998-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to investigate the effect of internet health education on female university students' knowledge and cognition regarding hepatitis B. BACKGROUND:One of the focal points of preventing hepatitis B is to improve students' knowledge of hepatitis B. The internet is thought t...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.02907.x
更新日期:2009-12-01 00:00:00
abstract:AIM:The aim was to describe nurses' clinical reasoning regarding peripheral venous cannulae management by focusing on the clinical information and circumstances considered during the decision-making process. BACKGROUND:On every shift nurses make several decisions, among others concerning the management of peripheral v...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.02973.x
更新日期:2009-12-01 00:00:00
abstract::It has been well documented that newly qualified nurses require support in developing confidence and professional competence. Although preceptorship models have gone some way in addressing this need, innovative and flexible models of facilitation and development are also required to respond to local demands. In the pr...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2002.00568.x
更新日期:2002-01-01 00:00:00
abstract:AIM:To assess the psychometric properties of the Chinese version of the Satisfaction with the Nursing Home Instrument. BACKGROUND:Resident's satisfaction has been regarded by the literature as a gold standard for quality of nursing home care. Accurate assessment of resident's satisfaction can provide valuable informat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01507.x
更新日期:2006-12-01 00:00:00
abstract:AIMS:The aim was to explore the prevalence of five components of metabolic syndrome with respect to gender and health-promoting lifestyle behaviours. BACKGROUND:Age- and gender-specific strategies might be useful as an approach to controlling metabolic syndrome. Prevention or delaying the onset of metabolic syndrome i...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03280.x
更新日期:2010-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to investigate the meaning of work for nursing assistants who stay in long-term care. BACKGROUND:Nursing assistants are important caregivers in long-term agencies. While studies have examined why nursing assistants leave, their motivation to stay has not been well stud...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01282.x
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:The review of the literature showed that many people and their family members share feelings of distress after an acute myocardial infarction. Therefore, it is important to show how the illness affects the relationship in the couple's daily life when the closest relatives involved are men. AIM:The aim was t...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2004.00915.x
更新日期:2004-05-01 00:00:00