A comprehensive systematic review of visitation models in adult critical care units within the context of patient- and family-centred care

Ciufo, Donna; Hader, Richard; Holly, Cheryl

doi:10.1111/j.1744-1609.2011.00229.x

Cited by 62 publications

(71 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although improved family satisfaction with less restrictive visitation policies is consistent with results of prior studies, 2,7,[10][11][12][13][14] improvement in the waiting room experience has not previously been demonstrated. One reason for the improved satisfaction may be that family members who spend less time in the waiting room may perceive it more favorably.…”

Section: Discussionsupporting

confidence: 81%

See 1 more Smart Citation

Satisfaction With Elimination of all Visitation Restrictions in a Mixed-Profile Intensive Care Unit

Chapman¹,

Collingridge

Mitchell

et al. 2015

American Journal of Critical Care

View full text Add to dashboard Cite

Background Open and patient-tailored guidelines have been recommended as the preferred visitation model in critical care settings; however, many critical care units continue to restrict visitation. Objectives To determine whether a transition from minimally restrictive to unrestricted visitation hours improves satisfaction of patients' family members and whether such a transition affects nurses' satisfaction and nurses' perceptions of satisfaction among patients' families. Methods Using a prospective, observational design in a 24-bed intensive care unit in a tertiary care hospital, validated instruments were used to survey family members visiting patients and all nurses working in the unit before and after a change in the visitation policy. Visitation hour guidelines were changed from closed during nursing hand-off report (3 hours daily) to open at all times, depending on patients' preference and clinical status. Results One hundred three family members (50 before and 53 after the change in visitation guidelines) and 128 nurses (61 before and 67 after the policy change) were surveyed. Unrestricted visitation hours significantly improved family members' satisfaction with the convenience of visitation hours and waiting room ambiance, and nurses' perceptions of families' satisfaction also improved. Conclusions Elimination of even minimal restrictions on visitation hours improved family satisfaction and improved nurses' perceptions of family satisfaction with the visitation policy. Nurses' satisfaction did not change. These findings support open and patient-centered visitation guidelines in critical care settings.

show abstract

Section: Discussionsupporting

confidence: 81%

“…1,2 Such restrictions can be stressful to patients with support persons outside of the traditional immediate family. 3 In April 2010, President Barack Obama released a presidential memorandum regarding patient visitation policies.…”

mentioning

confidence: 99%

Satisfaction With Elimination of all Visitation Restrictions in a Mixed-Profile Intensive Care Unit

Chapman¹,

Collingridge

Mitchell

et al. 2015

American Journal of Critical Care

View full text Add to dashboard Cite

show abstract

“…The majority were female (21), white (22), postgraduate (24) and worked for more than a year in the emergency unit (23), with professional experience ranging from six months to 15 years (average of 38.5 months of working).…”

Section: Resultsmentioning

confidence: 99%

“…21 This finding draws attention because the evidences show that nurses, even considering beneficial the family visits to critically ill patients, believe that flexible schedules hinder the development of its procedures and would entail greater workload for professionals. 22 Certainly, is necessary a systematized work along the entire health care team so that the family is properly valued and incorporated into the emergency care process. A study conducted in the United States showed that, in general, the professionals working in emergency rooms felt that family members should be allowed to stay at the bedside during the service, but there are challenges, including the need for education and theoretical preparation of all health staff to facilitate practical attitudinal changes that promote family stay during the service.…”

Section: Discussionmentioning

confidence: 99%

Family centered care in emergency departments: perception of brazilian nurses and doctors

Barreto¹,

Arruda²,

García-Vivar³

et al. 2017

Escola Anna Nery - Revista De Enfermagem

View full text Add to dashboard Cite

Cuidado centrado na família em unidades emergenciais: percepção de enfermeiros e médicos brasileirosCuidado centrado en la familia en unidades de urgencias: percepción de enfermeros y médicos brasileños Mayckel AbstrActObjective: To know the perception of doctors and nurses working in Emergency Care Units (ECU, in Brazil known as "UPA") on Family Centered Care (FCC). Methods: Descriptive study with qualitative approach conducted in two emergency units in Southern Brazil. Participated 32 health professionals, whose speeches were recorded, transcribed and subjected to content analysis. Results: The majority of respondents was unaware of the FCC, however, perceived it as a practice which values the family presence and allows its insertion in care. Many believed to be difficult to implement the FCC in Brazilian UPA, due to professional unpreparedness on the subject, high numbers and turnover of patients, the small physical space and socio-cultural profile of the population served. Conclusion: There is an urge for discussion of this care reference with managers and professionals, so that gradually, and to the extent of its possibilities, care to families in emergency units is expanded. Participaron 32 profesionales, cuyos discursos fueron grabados y transcritos para posteriormente ser analizados a través de análisis de contenido. Resultados: La mayoría de los participantes desconocía el CCF, pero lo percibía como una práctica que valora la presencia de la familia y permite su inserción en el cuidado. Muchos expresaron la dificultad de implementar el CCF en las UCU de Brasil, debido a la falta de preparación profesional, el alto flujo de pacientes, falta de estructura física y el perfil socio-cultural de la población. Conclusiones: Se considera necesario que tanto los gerentes como los profesionales conozcan el marco conceptual del CCF para promover la implantación de prácticas centradas en la familia en UCU.

show abstract

“…Eleven documents were included, seven literature reviews [8,[11][12][13][14][15][16] and four practice guidelines. [1,4,17,18] Among the seven reviews included, five were exclusively focussed on intensive care units (ICUs), [11,12,[14][15][16] while the other two were not confined to a specific type of unit. [8,13] While most of the reviews had the overarching goal of assessing and synthesizing evidence on the perceived impacts on patients, visitors and staff of open or flexible visiting policies, they varied in types of studies they included, indicators and methodologies they used to assess impacts.…”

Section: Perceived Impacts Of Open Visiting Policies and Pref-mentioning

confidence: 99%

Hospital visiting policies – impacts on patients, families and staff: A review of the literature to inform decision making

Bélanger

Bussières

Rainville

et al. 2017

JHA

View full text Add to dashboard Cite

Some healthcare organizations recommend adopting open visiting policies. These organisations are working towards the end goal of promoting the idea that patients and families can be true partners in care. An essential step in this culture shift involves openness to family presence and their engagement in the patient's care. Among other things, their recommendations are based on data from studies that assessed the impacts of different types of visiting policies on patients, families and healthcare staff. In order to inform and guide an organizational reflection on possible changes to our hospital center's visiting policies, our team undertook a systematic review that focussed on the advantages and disadvantages of open/flexible visiting policies, as perceived by patients, families and staff. Review articles and original articles were assessed and synthesized following a rigorous review process. Results of the reviewed studies suggest that flexible visiting policies lead to greater patient satisfaction with care and to positive impacts for both patients and families, and that these stakeholders have clear preferences for open/flexible policies. Nevertheless, policies including some guidelines to safeguard rest and sleep periods were deemed necessary by patients, rather than an unqualified open policy. Results also suggested that flexible visiting hours were not associated with an increased risk in hospital-acquired infections or septic complications in intensive care units (ICUs), where the majority of the reviewed studies were carried out. Authors recommended taking the specific context of care units into account when implementing new visiting policies, as needs may be different according to different health issues. Staff preferences over a model or the other were somewhat mixed. Some staff see the presence of families and visitors as an obstacle to the provision of care and a reason to fear increased workloads. In order to overcome this resistance, the importance of adequately preparing staff and supporting them throughout the policy change to ensure its success is highlighted.

show abstract

A comprehensive systematic review of visitation models in adult critical care units within the context of patient- and family-centred care

Cited by 62 publications

References 29 publications

Satisfaction With Elimination of all Visitation Restrictions in a Mixed-Profile Intensive Care Unit

Satisfaction With Elimination of all Visitation Restrictions in a Mixed-Profile Intensive Care Unit

Family centered care in emergency departments: perception of brazilian nurses and doctors

Hospital visiting policies – impacts on patients, families and staff: A review of the literature to inform decision making

Contact Info

Product

Resources

About