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Title: Family presence during CPR in adult critical care setting : hearing the voice of Jordanian health professionals and family members
Author: Saifan, Ahmad Rajeh
ISNI:       0000 0004 2704 1814
Awarding Body: University of Nottingham
Current Institution: University of Nottingham
Date of Award: 2010
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This study explores Jordanian health professionals' and family members' attitudes towards FWR in adult critical care settings. Leininger's cultural care theory was used as a theoretical framework for this study. The study was conducted in six hospitals in two major Jordanian cities. A purposive sample of 31 health professionals from several disciplines who had experience in critical care units in Jordanian hospitals, and 5 family members, who had experience of having a resuscitated relative, was recruited over a period of six months. An individual semi-structured interview was utilised as the main data collection method in this study. The study findings revealed three main categories: the health professionals' concerns regarding FWR, whether health professionals allow families to witness CPR or not, and hearing the voice of family members. Health professionals' concerns included concerns regarding the impact ofFWR on the CPR team members, such as increasing the level of stress, concerning ofbeing attacked, fearing that they would be distracted when working, and concern regarding litigation. In the second category, the novelty of this subject to Jordanian health professionals contributes to raising such factors that might atTect professionals' attitudes, such as the impact of culture and religion. To implement this issue in Jordan, health professionals suggested improving health professionals' knowledge and skills, preparing family members by providing good education and enough support, and focusing on organisational factors such as guidelines and the state of the resuscitation room Three themes were raised under the third category: the role of family members during CPR, families' needs, and barriers to allowing FWR. Families' needs for information and proximity were their main needs during CPR. Generally, most of the healthcare professionals were against FWR. They raised several concerns as a result of allowing this practice. Some of these concerns were raised in the existing literature. However, using a qualitative design helped in producing more details and explanations about these concerns. The findings of this study show that fear of litigation as a result of allowing FWR is influenced by presence of an etTective legal system. It was found that most of the professionals underplayed the importance of litigation in the practice of FWR, as they have not effective medical law. This study shows that most of the participants have concerns of being verbally and physically attacked if they allow FWR. This is a unique and original theme that was emerged in this study. The [mdings of this study parallel [mdings of many studies that FWR is traumatic for family members. Despite this consistency, my research explains that healthcare professionals particularly worried about allowing highly emotional people from attending CPR. In contrast to the findings of several studies, my research asserts that patient's privacy and confidentiality are not invaded in case of allowing the close relatives to witness their loved one's CPR. Despite the several concerns that were raised, many professionals stated that FWR has several advantages. Uniquely, this study shows that FWR gives family members the opportunity to practice their religious and cultural beliefs. This was viewed beneficial by most of the healthcare professionals. The findings of this study show that any FWR should consider the specific cultural and religious dimensions. Despite the necessity of considering these dimensions, this study shows that the influence of these dimensions was perhaps not as significant as it might first appear. More importantly, the key issue to improve people's attitudes toward FWR is simply the need for education and improving awareness. This study includes several suggestions to facilitate FWR such as the importance of education and presence of supporting staff. To implement FWR, it is essential to consider the available resources, as FWR requires extra staff and a well-prepared environment. All interviewed family members wanted the option to stay beside their loved one during CPR. Distinctively, most of family members want this option for some religious and cultural reasons such as praying and supplicating to support their loved one. All family members expressed several needs at time of CPR. The need for information about patient's condition was the most important need. Updating family members about patient's condition would reduce their tension and improve their acceptance for the end result of CPR. This study emphasizes the importance of considering the cultural and religious dimensions in any FWR programs. The study recommends that family members of resuscitated patients should be treated properly by good communication and involving them in the treatment process. The implications concentrate on producing specific guidelines for allowing FWR in the Jordanian context.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available