Impact of an educational program on knowledge, attitude and practices (KAP) of healthcare professionals (HCP) towards family presence during resusciatation (FPDR) in an emergnecy department (ED) at a tertiary care setting, Karachi, Pakistan

Date of Award


Document Type


Degree Name

Master of Science in Nursing (MScN)


School of Nursing and Midwifery, Pakistan


Family Presence During Resuscitation (FPDR) has remained a controversial issue since the early 1980s. Traditionally, FPDR has not been encouraged by healthcare professionals (FICPs), especially physicians and nurses. Although, the concept of FPDR is gradually gaining recognition in western countries, it is rarely considered in Asian countries. The debate on FPDR has re-surged and its merits have been highlighted by a number of international healthcare organizations. In Pakistan, the concept of FPDR is not well known; therefore, HCPs do not practice it. There are no guidelines or policies in Pakistan to guide HCPs in their practice regarding FPDR. However, over time patients' and families' rights have gained recognition and healthcare has progressed to become more patient-family centered. Objectives: The objective of this study was to evaluate the impact of an educational program on the Knowledge, Attitude, and Practices (KAP) of healthcare professionals (HCPs) towards FPDR in ED, at a tertiary care setting, in Karachi, Pakistan. Methods: This research study was conducted in the ED of a private tertiary care hospital in Karachi, Pakistan, and a quasi-experimental Pre-test and Post-test design was used. Universal sampling was done, and all ED nurses and physicians were selected for the study. The KAP of nurses and physicians were assessed before (pre-test), immediately after (post-test I), and at two weeks' interval (post-test II), after the intervention. One hour of same educational program was offered as an intervention to both nurses and physicians separately. Results: The findings of the study revealed that the mean scores of knowledge and attitude of HCPs at all three points (pre-test, post-test I, and post-test II) were found to be a statistically significant (p-value=<0.001), however, an insignificant difference was found in the practice means scores (pvalue=> 0.05). Hence, the implementation of an educational program was found effective in improving knowledge and in changing the attitude of HCPs, whereas, practice remained unchanged.

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