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Essay / Research Paper Abstract
A 7 page article critique that examines a study by MacLean, et al (2003), which examined the increasing trend of families remaining with their loved ones while cardiopulmonary resuscitation and other invasive procedures are undertaken within the emergency room or critical care environment. Despite this trend, the practice remains highly controversial. Therefore, the research team of MacLean, et al designed a study to explore the ramifications of this issue, specifically looking at the policies and practices established by critical care and emergency nurses. This examination of this study offers a comprehensive overview, as well as a critique of strengths and weaknesses. No additional sources cited.
Page Count:
7 pages (~225 words per page)
File: D0_khfper.rtf
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room environment. Despite this trend, the practice remains highly controversial. Therefore, the research team of MacLean, et al designed a study to explore the ramifications of this issue, specifically looking
at the policies and practices established by critical care and emergency nurses. The following examination of this study offers a comprehensive overview, as well as a critique of strengths and
weaknesses. Key idea/issue Allow the family members of patients to remain present while either cardiopulmonary resuscitation (CPR) or invasive procedures are being conducted is a controversial issue in the
US. Nevertheless, this practice has evolved over the last decade due to the "support of professional organizations, attention of the media and research on the topic " (MacLean, et al,
2003). The authors then go on to recount the manner in which this issue has evolved, beginning with the decision by the Emergency Nurses Association (ENA) in 1993 to support
the option of family presence. This section outlines benefits of family presence reported by several studies, as well as the continuing concerns of ER personnel that family members will become
upset and interfere with care. Reported benefits include that family presence removes doubt on the part of family members that everything possible is being done for the patient, reduces anxiety
and fear and engenders feelings of support and help for the patient " (MacLean, et al, 2003). In regards to negative outcomes, family presence appears to provide a sense of
closure for family members and facilitates the grief process. On the other hand, allowing family presence is a distinct paradigm shift for health care professionals. Family members have historically
been excluded from the bedside due such concerns as fear that they would become emotional and interrupt care; a lack of staff to meet the familys needs; insufficient room at
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