Family presence during resuscitation of adults: The impact of an online learning module on critical care nurses' perception and self-confidence.
Family presence during resuscitation (FPDR) involves offering family members the option to remain with their loved one who is undergoing life-saving measures. FPDR has been shown to enhance comfort and facilitate grieving, and 90% to 100% of patients and family members support it as an option. Howev...
| Publicado en: | Family Presence During Resuscitation of Adults: The Impact of an Online Learning Module on Critical Care Nurses' Perception & Self-confidence pp. 176 p - 177 |
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| Autor principal: | |
| Formato: | research randomized controlled trial Doctoral Dissertation |
| Publicado: |
University of Nevada, Las Vegas
2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109776544&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109776544 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: isbn: 9781321358032 dissinfo: disstl: Family presence during resuscitation of adults: The impact of an online learning module on critical care nurses' perception and self-confidence. dissinst: University of Nevada, Las Vegas jinfo: jid: I8Z0 jtl: Family Presence During Resuscitation of Adults: The Impact of an Online Learning Module on Critical Care Nurses' Perception & Self-confidence maglogo: N pubinfo: dt: 2014 pub: University of Nevada, Las Vegas artinfo: ui: 109776544 109776544 2012880724 UMI Order AAI3646015 109776544 ppf: 176 p ppct: 1 formats: tig: atl: Family presence during resuscitation of adults: The impact of an online learning module on critical care nurses' perception and self-confidence. aug: au: Powers, Kelly sug: subj: Critical Care Nursing In Adulthood Education, Non-Traditional Learning Methods Evaluation Patient-Family Relations In Adulthood Resuscitation Evaluation Self-Efficacy Evaluation Adult American Association of Critical-Care Nurses Analysis of Variance Change Theory Conceptual Framework Education Research Human Pretest-Posttest Design Quasi-Experimental Studies Randomized Controlled Trials Repeated Measures Research, Nursing Scales Social Learning Theory Adult: 19-44 years ab: Family presence during resuscitation (FPDR) involves offering family members the option to remain with their loved one who is undergoing life-saving measures. FPDR has been shown to enhance comfort and facilitate grieving, and 90% to 100% of patients and family members support it as an option. However, critical care nurses are not fully supportive of FPDR and approximately only one-third implement it in their care of patients. The perceived risks of FPDR are cited as a primary reason for lack of support and implementation. Yet, the perceived risks have not been proven, while the benefits have been established in research. This demonstrates the importance of education to improve critical care nurses' perception of FPDR.Few studies have investigated FPDR education with nurses. The few that exist have shown promise in improving perception, and also self-confidence which has been shown to influences nurses' FPDR implementation. Several gaps in the FPDR educational research have been identified; including use of measurement scales without established validity or reliability, restricted sample recruitment focused primarily on emergency department nurses despite the fact 45% of in-hospital resuscitation events occur in critical care settings, and methodological limitations such as the absence of a control group. Additionally, no research has yet evaluated the potential impact of online learning despite its capability of reaching larger numbers of nurses. Therefore, the purpose of this quasi-experimental study was to evaluate the impact of an online learning module on critical care nurses' perception and self-confidence for FPDR of adult patients.The frameworks utilized were Change Theory and Social Cognitive Theory to explain the choice of dependent variables and aid in the design of the FPDR online learning module as the independent variable. A two-group, quasi-experimental, pre- and post-test design was used. The sample consisted of critical care nurses (N = 74) recruited through online study advertisements facilitated by the American Association of Critical-Care Nurses (AACN). Subjects were randomly assigned to either the intervention group who received the FPDR online learning module or to the control group who received online learning about recent changes in resuscitative care. Established measurement scales were used to evaluate perception and self-confidence in this repeated-measures study. Data was collected online for four weeks and the two-factor, mixed-model factorial ANOVA was used for data analysis. Major findings demonstrated the FPDR online learning module was effective at improving critical care nurses' perception and self-confidence for FPDR. Mean scores in the intervention group increased significantly for both perception and self-confidence (p < .0005), while scores did not change significantly for the control group. Study results indicate online learning can improve critical care nurses' perception and self-confidence for FPDR and further strengthen the body of scientific evidence on FPDR education. pubtype: Dissertation doctype: research randomized controlled trial Doctoral Dissertation ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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