249: ICU Visitor Restriction Policies and Approaches to Family Engagement During the COVID-19 Pandemic

Zhang, Qiang; Andrews, Adair; LaRose, Kimberly; González, Manuel J. Checa; Harmon, Lori; Vermoch, Kathleen L.; Hwang, David G.

doi:10.1097/01.ccm.0000726884.27885.a9

Cited by 3 publications

(3 citation statements)

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“… Among the activities to be carried out before death:- Plan in advance of the patient's situation and goals of care.- Communicate proactively, respecting the time and feelings of the relatives.- Choose the person of reference.- Work together with the palliative care teams.- Ensure emotional, psychological and spiritual support for families.Among the activities to be carried out after the death:- Offer relatives the patient's personal belongings.- Assess relatives at risk of complicated bereavement.- Provide psychological and emotional support.- Make use of professionals from other specialties for the emotional management of relatives. ( Hwang et al, 2021a ). Descriptive study.…”

Section: Resultsmentioning

confidence: 99%

“…In this challenging context, telecommunication systems have come to play an even more prominent role within the dynamics of unit functioning, being conceived in most studies as an important element to break down part of the barriers created by Covid-19 in the implementation of FCC ( Hwang et al, 2021a )(Hwang et al, 2021), thus favouring the “virtual” approach of families to the ICU, with this approach having a great impact on families and helping them to make decisions together with healthcare teams ( Chapman et al, 2016 , Mangram et al, 2005 ).…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, videoconferencing was used in the documents analysed as an alternative to family visits from both the unit and the loved one's box ( Creutzfeldt et al, 2020 , Griffin et al, 2020 ; Hwang, Zhang, Andrews, Gonzalez, et al, 2021; Hwang, Zhang, Andrews, LaRose, et al, 2021; Kennedy et al, 2020 , Mendiola et al, 2021 ; Rascado et al, 2020; Valley et al, 2020 ). One of the most important aspects highlighted in several studies is the end of life, where the possibility of an in-person farewell by at least one family member is recommended ( Hwang et al, 2021a , Piscitello et al, 2021 , Rascado et al, 2020b , Rascado et al, 2020a , Valley et al, 2020 ). At the same time, prior training of the visiting family member in the use of personal protective equipment is indicated, as well as psychological preparation prior to contact with the patient ( Rascado et al, 2020b , 2020a).…”

Section: Engagement Of Familiesmentioning

confidence: 99%

See 2 more Smart Citations

Family-centred care of patients admitted to the intensive care unit in times of COVID-19: A systematic review

Fernández-Martínez

Mapango

Martínez-Fernández

et al. 2022

Intensive and Critical Care Nursing

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Engagement Of Familiesmentioning

confidence: 99%

See 1 more Smart Citation

Family-centred care of patients admitted to the intensive care unit in times of COVID-19: A systematic review

Fernández-Martínez

Mapango

Martínez-Fernández

et al. 2022

Intensive and Critical Care Nursing

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Efficacy of Virtual Visitation in ICU During COVID-19 Pandemic: The ICU Visits Randomized Controlled Trial

Woo,

Oh,

Lim

et al. 2024

Critical Care Medicine

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Objectives: This study aimed to demonstrate the impact of virtual visits on the satisfaction of family members and the anxiety and depression of patients in the ICU during the COVID-19 pandemic. Design: A single-center, randomized controlled trial. Setting: This study was conducted from July 2021 to May 2022, in the Seoul National University Hospital Patients: A total of 40 patients eligible for virtual visitation whose Richmond Agitation-Sedation Scale score was –2 or above were recruited and randomized into virtual visitation and usual care groups. Interventions: Virtual visitation began on the first day after ICU admission and continued until ICU discharge, lasting for a maximum of 7 days. Measurements and Main Results: The primary outcome was the satisfaction level of the family members with care and decision-making in the ICU, assessed using the Family Satisfaction-ICU (FS-ICU) 24-survey questionnaire. Secondary outcomes included patient anxiety and depression levels assessed using the Hospital Anxiety and Depression Scale (HADS), at the study enrollment after ICU admission and at the end of the study. After two patients were excluded due to clinical deterioration, 38 patients were ultimately analyzed, including 18 patients in the virtual visitation group and 20 patients in the usual care group. The FS-ICU 24 survey score was significantly higher in the virtual visitation group (89.1 ± 13.0 vs. 75.1 ± 17.7; p = 0.030). The reduction in HADS-Anxiety (59.4% vs. 15.39; p < 0.001) and HADS-Depression (64.5% vs. 24.2%; p < 0.001) scores between the two time points, from study enrollment after ICU admission to the end of the study was significantly larger in the virtual visitation group. Conclusions: In the COVID-19 pandemic era, virtual visits to ICU patients helped reduce depression and anxiety levels of patients and increase the satisfaction of their family members. Enhancing access to virtual visits for family members and developing a consistent approach may improve the quality of care during another pandemic.

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Managing Shifting Visitor Restrictions in Hospitals during the COVID-19 Pandemic from National Authority Level to Charge Nurses’ Practice: A Descriptive Study

Ågård,

Mainz,

Vedelø

et al. 2024

Journal of Nursing Management

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Introduction. Little is known about how shifting hospital visitor restrictions issued by national health authorities were communicated, managed, and adapted by hospital charge nurses during the COVID-19 pandemic. Aims. To describe the shifting visitor restrictions and the passing on of restrictions from the national authority level to charge nurses and secondly describe charge nurses’ management of the restrictions and their challenges when enforcing them. Methods. The study consisted of a document analysis and a cross-sectional survey including open-ended questions. Descriptive statistics and qualitative content analysis were used. The survey was distributed online to 88 charge nurses in somatic units in a Danish university hospital from March 2020 to April 2021. Results. Restrictions were communicated from national authority level in an effective administrative cascade. The charge nurses led their enforcement in each unit. In total, 71 charge nurses (81%) responded to the survey. For 70%, the wording of the restrictions was clear, while 31% found them challenging to handle. On a weekly or daily basis, 68% of the charge nurses deviated from the restrictions. They identified both upsides and downsides to the absence of relatives. Communication, collaboration, and leadership were experienced as key tools in the ongoing processes of adapting to shifting restrictions. Conclusion. During this severe health crisis, essential information was passed on through well-defined management levels in an effective communication pathway. Charge nurses and their professional values were challenged when balancing shifting national restrictions against individual needs of patients and relatives. Implications for Nursing Management. Charge nurses serve as vital intermediaries between national authorities and frontline nursing practice in managing shifting visitor restrictions during a pandemic. Their experiences can contribute to further qualifying nurse managers’ considerations when designing family-centred hospital visitor policies for the future. Also, they may strengthen the handling of future sudden major organizational changes.

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249: ICU Visitor Restriction Policies and Approaches to Family Engagement During the COVID-19 Pandemic

Cited by 3 publications

References 0 publications

Family-centred care of patients admitted to the intensive care unit in times of COVID-19: A systematic review

Family-centred care of patients admitted to the intensive care unit in times of COVID-19: A systematic review

Efficacy of Virtual Visitation in ICU During COVID-19 Pandemic: The ICU Visits Randomized Controlled Trial

Managing Shifting Visitor Restrictions in Hospitals during the COVID-19 Pandemic from National Authority Level to Charge Nurses’ Practice: A Descriptive Study

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