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Running head:TRANSLATIONAL RESEARCH 1Translational Research for Practice and PopulationsAngelic MitchellWestern Governors University
TRANSLATIONAL RESEARCH 2Translational ResearchCurrent Practice Requiring ChangeCurrent PracticeThe current practice in our hospital is to take the family and friends to a private waiting area in the event of a cardiac arrest rather than allowing them to remain at the bedside of their loved ones. If a cardiac arrest arrives via ambulance, the family is taken to the family room by either nursing staff, but most commonly by registration staff that also obtain the pertinent demographic information. Family that arrive into the waiting room are escorted to the family room. If a patient takes a turn for the worse and goes into cardiac arrest while being treated, family is again escorted to a private family waiting area. This also occurs in the inpatient areas ofour hospital. In the event of a code on the floor, the family is taken to a private area. Sometimes staff is available to remain with the family during this difficult time, but this is not always possible. Rationale for ChangeWith patient and family centered care becoming the standard of care, resuscitation seems to be one area where the family is systematically excluded. This behavior has become hardwired into staff. If the patient arrives in critical condition or takes a turn for the worse, one of our first actions is to remove the family from the immediate area. We need to continue to encourage family involvement in all areas of their loved one’s healthcare. Family presence during resuscitation can help them coping with the loss of a loved one.
TRANSLATIONAL RESEARCH 3Stakeholders and Their Role in the Proposed ChangeThe nursing staff are key stakeholders in the proposed change.Nursing will have to be thedriving force behind this change. Nursing will have to stop the hardwired behavior of escorting the family away from resuscitations. Registration staff or other ancillary staff will need to inform nursing staff of the arrival of family rather than simply escorting them to the family room to wait. The physicians will need to be aware that family might be present during a resuscitation.