Family Presence During Resuscitation (FPDR): Evaluation of the ER-DRIP education package.

Dr Joanne Porter1, Ms Nareeda  Miller1, Ms Anita  Giannis1, Ms Nicole Coombs1
1Federation University Australia, Trafalgar, Australia

Aim: The aim of this paper is to report on the impact the ER-DRIP education package has on attitudes of undergraduate nursing students towards implementing family presence during resuscitation (FPDR).
Background: The practice of allowing family to be present during resuscitation has been debated in emergency departments since the early 1980’s, with evidence that the practice and implementation of FPDR is inconsistent despite formal endorsement. The acronym ER-DRIP1 (emergency personnel, reassurance, diagnosis, regular up-dates, interventions and prognosis) was developed following a state wide survey2, a period of resuscitation observation and interviews with emergency personnel in Victoria. An education training package was developed, which provides students with a series of videos together with discussion notes which aims to develop the skills necessary to successfully implement FPDR for both paediatric and adult patients. The three scenarios include a paediatric respiratory arrest, a myocardial infarction and a stroke victim.
Method: final year undergraduate nursing students at a single large regional university across three campuses were invited to attend a two hour workshop, pre – post surveys evaluated the changes in attitudes of participants
Results: A total of 116 students attended the workshops, there was a significant shift in attitudes towards supporting and implementing family presence during resuscitation events. Post workshop 84% (n=98), compared to pre workshop 34% (n=39) greatly agree that family have the right to be present. Student’s perceived stress levels were reduced and there was a significant increase in students feeling comfortable having family present.
Conclusion: FPDR, although widely endorsed is practiced inconsistently.  Additional training and education around the implementation and practice of FPDR was identified as essential, the training package aims to build clinical confidence and competence.

Dr Joanne Porter currently works at the School of Nursing, Midwifery and Healthcare at Federation University Australia, Gippsland campus. Teaching into the undergraduate program, and postgraduate higher Degree supervision. She has worked both in Metropolitan and regional health facilities predominantly in Emergency departments and Intensive care units. Her research interests include, deteriorating patient outcomes, simulation, and emergency care research. Her PhD through Monash University used a mixed methods approach to investigate the affect family presence during resuscitation (FPDR) had on personnel in the emergency department. Joanne currently holds the position of Senior lecturer and has an extensive research history with a number of publications and competitive grants.