HCPs with more experience, more contact with seriously ill children, or prior experience with FPDR are more likely to favor the practice of FPDR.
There is a lack of written policies on FPDR in facilities surveyed.
FPDR should be offered only when a dedicated trained support person (family facilitator) can be provided to support the family.
HCP education has been shown to be effective in alleviating concerns of the potential negative consequences of FPDR and for developing strategies to effectively support this intervention in individual facilities.
Develop an FPDR protocol that clarifies the role of the family facilitator and clearly establishes boundaries or limits related to family member presence.
If family members choose not to be present or if FPDR is not offered, ensure a family facilitator provides ongoing updates of the child's status to the family and the reasons for not offering FPDR are documented.
Practices and preferences for written policies regarding FPDR.
Comparisons between nurses (n = 35; 8%) who, irrespective of a written policy or not, preferred to prohibit FPDR, with nurses supporting FPDR (n = 415, 92%) were undertaken to determine if there were significant differences between the two groups in relation to demographic characteristics; nursing experience; knowledge of existence of CACCN position statement; and previous exposure to requests by family members to be taken, or having taken family members to the bedside during a resuscitation.
Only 8% of the nurses reported that a written guideline/policy for FPDR was available in their hospital.
Level of awareness of Canadian critical care nurses regarding CACCN's FPDR position statement.
Less than 10% of the respondents of both surveys reported they worked on a unit/hospital with written guidelines for FPDR (Figure Three).
In Canada, although there have been a few articles in the lay press on FPDR (Branswell, 2002; Enman, 1998; Kirkey, 1997; Tuller, 2001), there has been a paucity of published research on this topic.