Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Susan Hayden

Abstract

Healthcare providers can be skeptical if not resistant to patient-family centered care if standards of care are not written in a policy or guideline. The 2009 Emergency Nurses Association position statement supports giving families the option to be present during resuscitative measures to meet their emotional needs. However, healthcare organizations are frequently not implementing this statement into their practice. Based on peer-reviewed articles retrieved through an in-depth literature search and using the Appraisal of Guidelines for Research and Evaluation (AGREE) II model, the gap in practice was addressed by creating a clinical practice guideline (CPG). The practice-focused questions addressed what evidence was available to provide healthcare providers with a resource for making decisions to allow family presence during resuscitation (FPDR). A panel of four experts evaluated the CPG using the AGREE II tool. All domains were scored over 90%, with an overall assessment score of 96% for usability of the CPG. Categories which received the lowest scores (90%) were rigor of development and applicability. Experts scored the CPG as high quality, with no revisions needed. Their summative evaluation indicated the project was organized and likely to be highly successful if followed. End users representing nurses, residents, and social workers (N = 4) also reviewed the CPG for content and usability and made no additional recommendations. The CPG for FPDR will lead to positive social change by allowing healthcare teams and patient families to collaborate to improve policies, programs, facilities, research, and education.

Included in

Nursing Commons

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