March 15, 2015
Introduction Critical appraisal of a research study demonstrates an understanding of the research study being conducted. This paper will review a qualitative research study designed to explore the lived experience of lay presence during adult cardiopulmonary resuscitation (CPR) in primary and secondary environments of care from a healthcare provider’s (HCP) perspective. The in-depth critical appraisal will include the problem statement, purpose, research questions, literature review and conceptual framework.
Problem Statement A research problem is an area of interest in which there is deficient knowledge. As a result, research is required to develop an essential understanding of the problem with the ultimate goal of providing evidence based-nursing care (Burns & Grove, 2011). The research problem that led to this study evolved from public support favoring family presence during adult CPR attempts and the contention this causes among emergency HCP’s. Previous research consisted mainly of attitudinal surveys, which neglect the real life experiences of those who encountered these events. Family member presence during CPR attempts, commonly referred to as witnessed resuscitation is an area of healthcare practice that is yet to be fully accepted and implemented by emergency HCP’s. Lack of written policy provides an option for reluctant HCP’s to refuse presence and an opportunity for supportive HCP’s to implement the practice. National guidelines and professional organizations currently recommend family presence during CPR and bedside invasive procedures (Basol, R., Ohman, K., Simones, J., & Skillings, K., 2009). The qualitative study discussed throughout this paper is significant because it provides insight into the anomaly of lay presence during adult CPR from a HCP’s perspective. The study explores life-world experiences of HCP’s and identifies barriers to the