Open visitation in the NICU: nurses’ perspectives on barriers and facilitators^†

Abstract

Objective This study aimed to investigate the nurses’ perspectives on open family visitation and its barriers and facilitators in neonatal intensive care units (NICUs). Methods This is a descriptive, cross-sectional study. A total of 113 nurses employed in 3 main NICUs of Tabriz participated in the study through the census sampling method. Nurses’ perspectives on open visitation and its facilitators and barriers were assessed and analyzed using the Beliefs and Attitudes toward Visitation in NICU Questionnaire (BAVNIQ) and descriptive and analytical statistics, respectively. Results Approximately 74% of the nurses who participating in the study had a moderate perspective on open visitation. From the nurses’ viewpoint, “Parents’ low awareness of sensitivity and hygienic principles of the NICU” was the first (90.3%) barrier, and the 2 factors, namely, “physical structure of the ward/lack of sufficient space” and “far distance between family’s residence and the hospital/having another child,” were the second (86.8%) barrier with an equal percentage. Among the facilitating factors, “Supporting employed parents during the neonate’s hospitalization” and “providing facilities for family accommodation in the hospital” were the first (82.3%) and the second (79.6%) facilitators, respectively, for open visitation. Conclusions The majority of NICU nurses had a moderate perspective on the family open visitation. This reluctance seems to be originated mainly from the factors inhibiting open visitation, making its implementation challenging for nurses. The perspective of the frontline staff in caring for vulnerable infants on facilitators and barriers to open visitation may help policymakers, managers, and relevant officials in decision-making and implementing new visiting policies in the NICUs.

Challenges of Family-Centered Care in a Neonatal Intensive Care Unit during the Visitation Restrictions After COVID-19 Pandemic Peak: A Qualitative Study of Parents’ and Nurses’ Perspectives

“…Although parents acknowledge that limited visiting policies may benefit their infants by reducing infection risks, they still require more extended visiting hours. 39 Nurses should provide extra time for visits and allow certain relatives to visit in place of the parents, such as in the case of teenage mothers. In addition, the COVID-19 testing should be performed before visitation.…”