Family Support During Resuscitation: A Quality Improvement Initiative

Author:

Mureau-Haines Rache Marie1,Boes-Rossi Mandy2,Casperson Susan Christine3,Çoruh Basak4,Furth Amy M.5,Haverland Amy6,Herrera Farah7,Hirai-Seaton Tracy8,Kummet Carol9,Ngo Hkori10,Shushan Stephanie11,Kritek Patricia A.12,Greco Sheryl A.13

Affiliation:

1. Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.

2. Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.

3. Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.

4. Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.

5. Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.

6. Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.

7. Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.

8. Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.

9. Carol Kummet is a palliative care social worker at University of Washington Medical Center.

10. Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.

11. Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.

12. Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.

13. Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center.

Abstract

BACKGROUNDDespite increasing support for family presence during cardiopulmonary resuscitation, a review of the literature revealed no published protocols or training curricula to guide hospitals in implementing a family support provider role.OBJECTIVESTo develop a curriculum and train dedicated resuscitation team members whose role is to provide family support during in-hospital resuscitation events.METHODSAn interdisciplinary team developed a 4-hour training session for the family support staff. The session included an introduction to the evidence for family presence during resuscitation and local data on resuscitations. The training was composed of 4 sections: (1) clinical aspects of resuscitation, (2) integration into the resuscitation team and steps for providing family support during resuscitation, (3) responding to families in distress, and (4) self-care practices. Before and after the training session, the participants completed surveys of self-rated knowledge and attitudes toward family presence during resuscitation.RESULTSFifty-nine social workers and 8 spiritual care providers were trained in 2015. There was a significant increase in all rated aspects of knowledge of the family support role and self-care strategies.CONCLUSIONThrough the creation of an interdisciplinary curriculum, an institution can effectively train health care providers in a new resuscitation team role: the family support provider.

Publisher

AACN Publishing

Subject

Critical Care,General Medicine

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