The impact of visiting the Intensive Care Unit on children’s and adolescents’ psychological well-being: A systematic review

Family perspectives on facilitators and barriers to the set up and conduct of virtual visiting in intensive care during the COVID-19 pandemic: A qualitative interview study

“…Although policies that prohibit children from intensive care unit in-person visiting have relaxed over the last decade there are often still restrictions with very young children in particular. Both parents and intensive care unit clinicians frequently have concerns about causing additional stress, introducing infection, and having the resources to manage the logistical and psychological aspects of a child visiting the intensive care unit ( Lamiani et al, 2021 ). Virtual visiting means a child can visit in the comfort of familiar surroundings with their usual distractions available, while easily being able to leave or join a visit by moving off or on screen.…”

Kinderbesuche auf Intensivstationen: Was ist aus Perspektive der Krankenhaushygiene zu beachten?

“…Aus Kinderperspektive bieten Besuche jedoch meistens die Chance positive, korrigierende Erfahrungen zu machen, und sie fühlen sich nicht mehr ausgeschlossen [14]. Kinder können aktiv zur Gesundung des Familienangehörigen durch eigene Bilder, Spiele und andere Aktivitäten beitragen [15,16]. Besuche bieten Kindern überdies die Möglichkeit, die Realität besser zu verarbeiten und ihre Beziehungen zu ihrem Familienmitglied zu bewahren [6].…”

Practice of family-centred care in intensive care units before the COVID-19-pandemic: A cross-sectional analysis in German-speaking countries

“…Studies show that in the majority of cases it is the parents who initiate visits with their children (Desai et al, 2020; Knutsson & Bergbom, 2007a). The evidence for benefits and harms of children as visitors is still conflicting ( Lamiani et al, 2021 ). Healthcare professionals still tend to be more critical of visits by children, believing that their presence distracts their attention and disturbs their routine (Desai et al, 2020; Knutsson et al, 2017 ).…”

“…Healthcare professionals still tend to be more critical of visits by children, believing that their presence distracts their attention and disturbs their routine (Desai et al, 2020; Knutsson et al, 2017 ). Children in fact are able to cope with the situation very well, but clinicians frequently fear a risk of cross-contamination, psychological trauma of the children especially when they see the patient, or other risks such as overprotection by staff and parents, misunderstandings, a frightening environment, feelings of relief, fear or ignorance, boring waiting times, unprepared confrontation with death and suffering, the compromised health of children, and others ( Clarke & Harrison, 2001 ; Hanely & Piazza, 2012; Horikoshi et al, 2018 , Lamiani et al, 2021 ; Karp et al, 2020; Knutsson et al, 2008 , Knutsson et al, 2017 , Milner et al, 2021 ). Implementation of specialized professions such as child-life specialists for supporting pediatric presence in the ICU is developing (Romito, 2021).…”