Knowledge, Attitude, and Practice of Healthcare Professionals Regarding Family Presence During Resuscitation: An Interventional Study in a Tertiary Care Setting, Karachi, Pakistan

Authors

  • Shaista Meghani
  • Rozina Karmaliani
  • Khairulnissa Ajani
  • Shireen Shehzad Bhamani
  • Nadeem Ullah Khan
  • Nasreen Lalani

DOI:

https://doi.org/10.1891/1748-6254.13.1.46

Keywords:

education, family-centered care, healthcare professionals, witnessed resuscitation, quasi experimental

Abstract

Background: Family presence during resuscitation (FPDR) has not been fully adopted by healthcare professionals (HCPs), especially physicians and nurses. However, the concept of FPDR is gradually gaining recognition around the world. There are no guidelines or policies in Pakistan to guide HCPs in their practice regarding FPDR. However, over time, patients' and families' rights have gained recognition and healthcare has progressed to become more patient–family centered.

Aim: The study aims to evaluate the impact of an educational program on knowledge, attitudes, and practices (KAP) of HCPs towards FPDR in ED, at a tertiary care setting, in Karachi, Pakistan.

Methods: A quasi-experimental pretest and posttest design was used. KAP of ED nurses and physicians were assessed before (pretest), immediately after (posttest I), and at two weeks (posttest II) after the educational intervention, which includes an hour of educational training session.

Results: The mean scores of knowledge and attitude of HCPs at all three points (pretest, posttest I, and posttest II) were found to be statistically significant (p < .001). There was a significant difference between pre- and posttest I, and posttest II (p < .001), but not between the two posttests. No significant difference was observed regarding practice scores.

Conclusion: The study tested an educational intervention for FPDR, which was found to be effective in improving the HCPs' knowledge and in changing their attitude. Based on these results, FPDR-specific training, with structured FPDR guidelines using a multidisciplinary team approach are essential for the implementation of FPDR.

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Published

2019-03-01