Early Save Program & its evaluation
The national safety and quality health services standards have been developed by the Australian government to implement safety and quality health care services. This attempt will help to provide better services and treatment process to the patient. In 2011the health Ministry of Australia has been introducing the new standards for healthcare organizations (Safetyandqualit, 2017).
Recognition and response system aspire to secure that all the patients can get better services at their critical instant. For this reasons, the hospitals and healthcare authorities will introduce education and training program to educate their staffs to offer better services. The process includes several steps for the betterment. The observation graph after MET formation suggested that it has positive effects on the healthcare practice. The rapid response system is able to provide the better care and treatment. They are also developing better communication skill with the family member of the family to evaluate the exact situation of the patient. Their actions are also supported by the well-constructed framework to minimize the incidence of clinical deterioration (National safety and quality health service standards, 2012). The proper education and training are able to improve the behavior and response style of the healthcare staffs.
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The increasing resuscitation rate is indicating that the health care services are providing better treatment. In many studies, it has been stated that proper resuscitation training will help to obtain positive results in health care practice (Sutton, Nadkarni and Abella, 2012). In this aspect, it can be assumed that the program is successful to some extent by increasing resuscitation of the patients. According to a research, it has been indicating that better quality treatment will able to transfer more patients to the normal word from the critical care unit(van Sluisveld et al., 2015). In this aspects, a positive graph on the transfer of the patient in normal word suggested that the program is succeeding.
Moreover, it can be concluded that the EARLY SAVE program is successful in many terms to better the health care services among the patient. Initiation of such program will able to improve the quality of the services in health care practice and enhances the proper organizational structure. Evaluation of new program is essential to provide the exact scenario. In this context, the evolution will help to improve the future policies and incorporation of better services.
Families should be entered or allowed to be present during the resuscitation efforts within the hospitals is a controversial element of the discussion. Many hospitals and healthcare center have has their own policy to control the movement of the family members in the hospital settings. They have had their own visitation times with restricted manners. However, emergency nurses association has agreed that the family members have the right to present during the resuscitation process (Ahcmedia, 2014). Thus many medical practitioners are concluded that presence of family members can create a traumatic situation which stressed the health care professionals to perform their role (Haddad, 2002).
In some extent, it has been observed that presence of family members will help to provide mental support to the patient and in healthcare practitioners.
Review of the topic
Several studies have been identified that the presence of the family menders during their physical emergency was helping them to regain their inner power. A study published in England journal of medicine in 2013 suggested that the resuscitation process with or without the family menders was not affecting the patient’s physical condition (Eccguidelines.heart, 2017). However, it was affecting their psychological states. Those were entering without their family members were suffering from depression which can interfere with their physiological state also. The study is also suggested that those family members were present during the resuscitation process did not create any problem. The study is also indicating that less than 1% of the family members were aggressive in their behaviors and had a conflict with the medical practitioners during the whole process (Porter, Cooper and Sellick, 2013). They were not creating or developing any hazardous condition which creates mental pressure to the healthcare personnel. The anxiety level was high am0ong the family members those were absent during the resuscitation process. This qualitative study is supporting the presence of family during the resuscitation process. The process of resuscitation was not affected by the family members. The study is also revealed that the stress level of the healthcare personnel was not increased by the presence of family members (Jabre et al., 2013).
An of Journal Intensive Care Nursing is also stated that the family presence could comfort the patients by providing mental and moral support. The presence of family members in the resuscitation process was not interfering with patient mortality rate along with the quality of resuscitation process. Moreover, it not also affecting the mental state of the family members if they were visualized the whole process. Therefore most of the patient’s family was willing or interested to understand the whole process of treatment along with their previous experienced in some case (Goldberger et al., 2015). This process will also help the medical team to distract the patient and performing their own work. Both research articles are appealing to provide sufficient data that the presence of family members during the resuscitation process will not create any hazards for the medical team and for the patients (Oczkowski et al., 2015). The articles are also able to justify the fact that the family members will not create any conflict or violence during the concerned process. All evidence has supported the fact that the presences of the family will help to minimize their trauma and they will realize the effort of the health care practitioners which can create respects and faith towards the systems (LMU, 2017).
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Therefore it can be stated that it is the right of the family members to visualize the whole resuscitation process without creating any disturbances. This will help them to control their emotional outburst and create believes in the treatment process. The psychological state of the patient and their family will improve by this attempt. Both are feeling safe and secure to some extent. This will also help the healthcare staffs to continue their treatment process without any interruption (Halm, 2017). In case children and old age people it is an essential practice to make the patient comfortable and relaxed. This process will help to move with further treatment procedures. Moreover, it was the family member’s responsibility to avoid any kind of conflict which can impede the treatment process of their loved ones. Their self-controlled behavior is essential to improve the present situation. The small evidence is available in this context however, it can be understood that the presences of family members have positive effects on the resuscitation process which need to accept by the health care authority (De Stefano et al., 2016).
Still, the presence of family members during the resuscitation process will not be accepted by the hospital or health care authority. Only 5% of the critical care unit of United States, 8% of Canada and 7% in European countries are permitting the presence of the family members in their resuscitation process. In many cases, the authority will assume that the family members can create violent behaviors which distract the medical personnel and affect the whole treatment process. This incident can able to increase mortality rate among the patient.
However, the research scenarios are explaining completely different chronicles. The presence of family members was increasing the effectiveness of the treatment procedures. Their presence was assuring them regarding the whole process (Harteveldt, 2015). The effort of the medical team was observed by them. At last, it can be concluded that the healthcare practice should support the thought and accept the fact that the presence of family member is an essential part of the treatment. It is advised that all health care practice those are considering that treatment should practice with respect and dignity will accept the fact and behave accordingly.
- Ahcmedia (2014). Family Presence During Pediatric Resuscitations and Invasive Procedures. [online] Ahcmedia.com. Available at: https://www.ahcmedia.com/articles/31361-family-presence-during-pediatric-resuscitations-and-invasive-procedures [Accessed 20 Oct. 2017].
- De Stefano, C., Normand, D., Jabre, P., Azoulay, E., Kentish-Barnes, N., Lapostolle, F., Baubet, T., Reuter, P., Javaud, N., Borron, S., Vicaut, E. and Adnet, F. (2016). Family Presence during Resuscitation: A Qualitative Analysis from a National Multicenter Randomized Clinical Trial. PLOS ONE, 11(6), p.e0156100.
- Eccguidelines.heart (2017). Family Presence During Resuscitation – ECC Guidelines 2015. [online] Eccguidelines.heart.org. Available at: https://eccguidelines.heart.org/index.php/circulation/cpr-ecc-guidelines-2/part-12-pediatric-advanced-life-support/intra-arrest-care-updates/family-presence-during-resuscitation/ [Accessed 20 Oct. 2017].
- Goldberger, Z., Nallamothu, B., Nichol, G., Chan, P., Curtis, J. and Cooke, C. (2015). Policies Allowing Family Presence During Resuscitation and Patterns of Care During In-Hospital Cardiac Arrest. Circulation: Cardiovascular Quality and Outcomes, 8(3), pp.226-234.
- Haddad, A. (2002). Ethics in Action: Family presence during codes. [online] Modern medicine. Available at: http://www.modernmedicine.com/modern-medicine/content/ethics-action-family-presence-during-codes [Accessed 15 Oct. 2017].
- Halm, M. (2017). Family Presence During Resuscitation: A Critical Review of the Literature. [online] Ajcc.aacnjournals.org. Available at: http://ajcc.aacnjournals.org/content/14/6/494.full.. [Accessed 20 Oct. 2017].
- Harteveldt, R. (2015). Benefits and pitfalls of family presence during resuscitation. [ebook] Available at: https://www.nursingtimes.net/journals/2013/03/19/t/c/m/050906benefits-and-pitfalls-of-family-presence-during-resuscitation.pdf [Accessed 20 Oct. 2017].
- Jabre, P., Belpomme, V., Azoulay, E., Jacob, L., Bertrand, L., Lapostolle, F., Tazarourte, K., Bouilleau, G., Pinaud, V., Broche, C., Normand, D., Baubet, T., Ricard-Hibon, A., Istria, J., Beltramini, A., Alheritiere, A., Assez, N., Nace, L., Vivien, B., Turi, L., Launay, S., Desmaizieres, M., Borron, S., Vicaut, E. and Adnet, F. (2013). Family Presence during Cardiopulmonary Resuscitation. New England Journal of Medicine, 368(11), pp.1008-1018.
- LMU (2017). Family Presence During Resuscitation and Invasive Procedures. [online] Available at: http://ccn.aacnjournals.org/content/36/1/e11.full [Accessed 15 Oct. 2017].
- National safety and quality health service standards. (2012). Sydney: Australian Commission on Safety and Quality in Health Care.
- Oczkowski, S., Mazzetti, I., Cupido, C. and Fox-Robichaud, A. (2015). The offering of family presence during resuscitation: a systematic review and meta-analysis. Journal of Intensive Care, 3(1).
- Porter, J., Cooper, S. and Sellick, K. (2013). Attitudes, implementation and practice of family presence during resuscitation (FPDR): A quantitative literature review. International Emergency Nursing, 21(1), pp.26-34.
- Safetyandqualit (2017). Resources to implement the NSQHS Standards | Safety and Quality. [online] Safetyandquality.gov.au. Available at: https://www.safetyandquality.gov.au/our-work/assessment-to-the-nsqhs-standards/resources-to-implement-the-nsqhs-standards/ [Accessed 15 Oct. 2017].
- Sutton, R., Nadkarni, V. and Abella, B. (2012). “Putting It All Together” to Improve Resuscitation Quality. Emergency Medicine Clinics of North America, 30(1), pp.105-122.
- van Sluisveld, N., Hesselink, G., van der Hoeven, J., Westert, G., Wollersheim, H. and Zegers, M. (2015). Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. Intensive Care Medicine, 41(4), pp.589-604.