Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from Term Paper:
A study in this regard by Ainslie Nibert, entitled, Teaching clinical ethics using a case study family presence during cardiopulmonary resuscitation, states that Critical care nurses often find themselves in the midst of challenging ethical situations that involve conflict between the needs of critically ill patients and the patients' family members and the preferences of physicians and other healthcare providers who initiate and manage resuscitation measures. Yet, many critical care nurses have reported that they received little preparation in their basic education programs to deal with these sensitive issues. (Nibert, Ainslie T. 2005)
This may constitute a moral dilemma as the study points out. "A moral conflict exists because two opposing obligations collide: an obligation to the family members who desire to be present with their loved one during CPR and an obligation to the healthcare providers who do not want patients' family members to witness resuscitation efforts." (ibid)
The study suggests that resolving this ethical dilemma lies in hospital and medical policy which would allow for clear instructions for "reinforcing the existing policy that prohibits their presence, or selectively permitting them to be present on the basis of screening according to predetermined criteria." (ibid) Nibert establishes four areas that should be taken into consideration when assessing the implications of family presence. These are (1) medical indications; (2) patients' preferences; (3) quality of life; and (4) social, economic, and health policy issues. (ibid) Another aspect is that nursing staff may find that the presence of family members may affect their authority.
Brown and Ritchie (1990) reported nurses were threatened by the perceived loss of authority that was associated with increased parent participation.
An important aspect in attempting to resolve this problem is the fact that many medical institutions do not have a firm set of policy guidelines on this issue. In a survey of 1500 members of the American Association of Critical-Care Nurses and 1500 members of the Emergency Nurses Association. It was found that "nearly all respondents have no written policies for family presence yet most have done (or would do) it, prefer that it be allowed, and are confronted with requests from family members to be present. Written policies or guidelines for family presence during resuscitation and invasive procedures are recommended. (Desy, Pierre. 2003)
Despite a growing movement in support of family presence, many healthcare professional still continue to resist adopting the practice. One of the arguments made is that "not enough research supports making a change in practice." (Mason, Diana J. 2003) There are no easy solutions to these issues. On the one hand the tendency to allow family presence is justified by factors such as family dignity and moral and psychological support. On the other hand there is also justification in the assertion that family presence may be counterproductive, not only for the nursing and medical staff but also for family members who may be emotionally traumatized. Part of the answer to this dilemma lies in the clarification of policy, as has been suggested, and in the improvement in nursing training to deal with the issue of family presence. As Nibert suggests:
Nurse educators teaching critical care courses can increase students' understanding of ethical dilemmas by having the students participate in a clinical analysis of a case study... In small groups, students can begin their analysis of the issue by reviewing the current literature on family presence. Discussion of findings with their peers helps students identify key issues within the ethical dilemma. (Nibert, Ainslie T. 2005)
Brown, J., & Ritchie, J.A. (1990). Nurses' perceptions of parent and nurse roles in caring for hospitalized children. Children's Health Care, 19, 28-36.
Bauchner H, Waring C. And Vinci R. (1991)
Parental presence during procedures in an emergency room: results from 50 observations. Department of Pediatrics, Boston City Hospital.. Retrieved February 24, 2005, from Pediatrics. Web site: http://pediatrics.aappublications.org/cgi/content/abstract/87/4/544
Desy, Pierre. (2003) Family presence during cardiopulmonary resuscitation and invasive procedures: practices of critical care and emergency nurses. American Journal of Critical Care, May 1.
Eichhorn DJ, Meyers TA, Guzzetta CE, et al. (2001) Family presence during invasive procedures and resuscitation: hearing the voice of the patient. American Journal of Nursing. May;101:26-33.
Eichhorn, Dezra J.; Meyers, Theresa a.; Mitchell, Thomas G.; Guzzetta, Cathie E.. (1996) Opening the doors: family presence during resuscitation, Journal of Cardiovascular Nursing, July 1,.
Hanson C, Strawser D. (1992) Family presence during cardiopulmonary resuscitation: Foote Hospital emergency department's nine-year perspective. Journal of Emerging Nursing. 1992;18:104-106.
Johnson, B.H. (1990). The changing role of families in health care. Children's Health Care, 19, 234-241.)
Johnstone, M. (Ed.). (1999). Bioethics: A Nursing Perspective. Sydney, N.S.W.: Harcourt Saunders.
Mason, Diana J. (2003) Family presence: evidence vs. tradition. American Journal of Critical Care, May 1.
Meyers TA, Eichhorn DJ, Guzzetta CE, et al. (2000) Family presence during invasive procedures and resuscitation: the experiences of family members, nurses, and physicians. American Journal of Nursing. February; 100:32-42.
Nettle, C., Pavelich, J., Jones, N., Beltz, C., Laboon, P., & Pifer, P. (1993). Family as Client: Using Gordon's Health Pattern Typology. Journal of Community Health Nursing. 10(1), 53-61.
Nibert, Ainslie T. (2005) Teaching clinical ethics using a case study family presence during cardiopulmonary resuscitation. Critical Care Nurse,…[continue]
"Family Presence During Procedures One" (2005, February 26) Retrieved October 22, 2016, from http://www.paperdue.com/essay/family-presence-during-procedures-one-62246
"Family Presence During Procedures One" 26 February 2005. Web.22 October. 2016. <http://www.paperdue.com/essay/family-presence-during-procedures-one-62246>
"Family Presence During Procedures One", 26 February 2005, Accessed.22 October. 2016, http://www.paperdue.com/essay/family-presence-during-procedures-one-62246
presence of family members in the resuscitation room, various factors must be taken into account. In regards to such events leading to traumatic repercussions, if the patient does not respond to the measures, it is likely that the next of kin would be affected by the experience. Moreover, by allowing family members to be present, staff is expected to ensure a minimum of support. However, given that resuscitation measures
Many nations do not use restorative justice as a policy, but eventually bright, progressive leaders worldwide will hopefully learn the value of restorative justice, and implement it at some level. Youth Justice Process in New Zealand. (2005). Family Group Conference. Retrieved 29 June 2008, at http://www.justice.govtnz/youth/fgc.html. This government-produced review of the ideologies and practical implementation of the Family Group Conference was a valuable and basic article in terms of the understanding
Family Law Amendment (Shared Parental Responsibility) Act U v U  HCA Over the years, the moral fibre of the society has continued to crumble. One of the most affected social units in the society is the family. Spouses exchange vows only to go back on their promise that 'till death do us part.' Children are often at the receiving end of such scenarios since family disintegration often has a negative impact
Conjoint Family Therapy What is Conjoint Family Therapy? Family therapy, also known as conjoint family therapy is a technique or a subfield of psychotherapy which basically focuses its attention towards helping couples and families cope up with the various kinds of problems they are facing in their relationships. They aim to get to the root of the situation and the reason why problems arise and then systematically resolve these by encouraging the
General grade point averages, SAT scores, and school involvement tend to be lower than their peers coming from two parent homes (Park, 2008). Lower collegiate attendance is also another major issue that is seen within this growing population. On average individuals coming out of single parent homes go to college less than their counterparts with both parents present (Huan, 2003). This is often associated with the poorer grades that were
This stated, "Black Kings brothers must join as one to resist the oppression that faces all black youth. With this oath you have found a new family, a brotherhood that will always be with you" (Venhatesh & Levitt, 2000, p. 439). Evaluation: One of the most interesting facets of Venhatesh and Levitt's (2000) research is their unique access to the financial records of the Black Kings, for four years. This research
The participation of the staff is entirely voluntary and while staff will be encouraged to participate it will not be mandatory and staff members will only be approached once with the survey placed in their mailboxes at work. Staff members will be allowed to return the surveys in a locked box placed off the unit and in an unobserved area for maximum anonymity. It would be our goal to receive completed surveys from at least