Family presence during resuscitation and invasive procedures: The nurse experience

This qualitative study aimed at understanding the experiences of nurses who have participated with families during resuscitation and invasive procedures in the hospital. Seventeen nurses in a large metropolitan area in the Northeastern United States were interviewed for their thoughts and feelings about participating with families during resuscitation and invasive procedures in the hospital. Conversations were audiotaped and transcribed verbatim for analysis. Transcripts were analyzed using van Manen's (1990) six methodological steps.

Four main themes were identified from the data: Forging a connection, Engaging the family, Transition to acceptance and A cautious approach. Nine major clusters and nine minor clusters supporting the four main themes were identified and described. The experience of participating in family presence during resuscitation or invasive procedures in the hospital, while requiring a cautious approach and times of nonacceptance, can be a positive experience for the nurse by forging a connection with family. The experience for the nurse participating with families may include a transition to acceptance and a committed change in practice. Families can engage through joint decision-making and active participation during resuscitation and invasive procedures in the hospital.