• Brandon D Gomes, Ouida P Dowd, and Kristen A Sethares.
• Brandon D. Gomes was an undergraduate honors student, College of Nursing, University of Massachusetts Dartmouth, Dartmouth, Massachusetts, at the time of the study and is now a registered nurse in the critical care units, South-coast Hospitals Group, Fall River, Massachusetts. Ouida P. Dowd is a clinical assistant professor, College of Nursing, University of Massachusetts Dartmouth, and a critical care nurse. Kristen A. Sethares is a professor and PhD program director, College of Nursing, University of Massachusetts Dartmouth. bgomes2@umassd.edu.
• Am. J. Crit. Care. 2019 Mar 1; 28 (2): 142-148.

BackgroundFamily-witnessed resuscitation is not consistently practiced in critical care despite the fact that it is recommended and research shows that it supports the emotional needs of families and patients and improves decision-making, care, and communication. Nurses support the idea of family-witnessed resuscitation but may not believe it should be standard practice.ObjectivesTo examine the attitudes of American community hospital critical care nurses about family-witnessed resuscitation and to identify differences in attitudes between nurses who have and have not experienced it.MethodsThis cross-sectional, descriptive study of 40 critical care nurses was conducted at 2 community hospitals. Demographic data were collected and a previously developed questionnaire was used to survey participants on their attitudes about family-witnessed resuscitation factors including decision-making, process, and outcomes.ResultsMost participants (92%) had experienced family-witnessed resuscitation and most had positive attitudes about the benefits and outcomes of family-witnessed resuscitation. Participants did not believe that family presence is too distressing for families or that resuscitation team performance would be negatively affected. Participants indicated that fear of litigation, family disruption of resuscitation, and family misinterpretation of procedures would not increase with family presence.ConclusionsFindings show that community hospital critical care nurses support family-witnessed resuscitation. Prior experiences and cultural beliefs should be considered when developing family-witnessed resuscitation policies. Further research is needed on the influence of these factors on nurses' attitudes toward family presence to inform practice.

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