• Christopher T Doolin, Lisa D Quinn, Lesley G Bryant, Ann A Lyons, and Ruth M Kleinpell.
• Spalding University, Louisville, Kentucky, USA.
• J Am Acad Nurse Pract. 2011 Jan 1; 23 (1): 8-14.

PurposeTo provide advanced practice nurses (APNs) with the best available evidence for implementation of policies and procedures to allow family presence during cardiopulmonary resuscitation (CPR) in the acute care environment.Data SourcesA comprehensive review of research-based articles from Ebsco Host, CINAHL, Pre-CINAHL, and Medline Plus, as well as statement alerts from nursing credentialing bodies, and practice guidelines were reviewed. Kolcaba's Theory of Comfort and Lewin's Three Step Change Theory provide a framework for implementation of formal policies and procedures.ConclusionsBest available evidence showed more support in favor of allowing families at the bedside during CPR. Implementation of policies and procedures allowing family presence enables facilities to change and grow in a holistic and family-oriented atmosphere.Implications For PracticeWith this evidence-based knowledge the APN will be able to disseminate information to facilitate collaborative change in current practices surrounding staff education, decision making, and self-governance. The APN can then address controversial changes when developing formal policies and procedures, which will increase patient satisfaction and outcomes.©2010 The Author Journal compilation ©2010 American Academy of Nurse Practitioners.

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