The psychological burden of restricted parental visiting in paediatric intensive care

Bichard, Elizabeth; Herring, Daryl

doi:10.1111/nicc.12544

Cited by 11 publications

(10 citation statements)

References 15 publications

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“…9 Additionally, hospital procedures to limit the spread of COVID-19 (eg, physical isolation, visitor restrictions) 10 have been speculated to adversely impact patients and families in the PICU. 11 Like patients and families, PICU providers experience substantial stress independent of COVID-19. 12 Risk of infection and pandemic-related precautions may worsen baseline stress.…”

Section: Coronavirus Disease 2019 (Covid-19mentioning

confidence: 99%

“It Has Added Another Layer of Stress”: COVID-19’s Impact in the PICU

Balistreri

Lim

Tager

et al. 2021

Hospital Pediatrics

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OBJECTIVE The novel coronavirus disease 2019 (COVID-19) pandemic has dramatically changed health care delivery and impacted health care providers. However, little is known about the impact of the pandemic in PICUs. In this qualitative study, we aimed to assess pediatric critical care providers’ perspectives on the impact of the COVID-19 pandemic on the experiences of patients and families in the PICU and on their personal and professional lives. METHODS Nineteen pediatric critical care and complex care attending physicians and nurse practitioners from a PICU in a tertiary, freestanding children’s hospital in the Midwest completed a semistructured, qualitative interview. Transcripts were analyzed by using thematic analysis. RESULTS For both PICU providers and patients and families, participants described a negative overall impact of the pandemic, especially relating to increased stress and fear of contracting the disease. Disease precautions such as visitor restrictions and restricting movement were reported to be particularly stressful for families because they limited coping strategies (eg, in-person social support). Providers described changes to the work environment, patient care, and their personal lives. CONCLUSIONS Results elucidate the perceived impacts of COVID-19 and associated hospital precautions on the lives of PICU providers, patients, and families. Providers, patients, and families likely require additional psychosocial support during the pandemic. When possible, policies regarding disease management should maximize safety while minimizing additional stress. Further research is needed to explore patient and family perspectives regarding the impact of COVID-19 and to evaluate the continued impact of COVID-19 over time.

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Section: Coronavirus Disease 2019 (Covid-19mentioning

confidence: 99%

“It Has Added Another Layer of Stress”: COVID-19’s Impact in the PICU

Balistreri

Lim

Tager

et al. 2021

Hospital Pediatrics

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“…PRVR also potentially place the burden of decision making on one parent, while also creating the need to provide alternative means of childcare for siblings that otherwise wouldn't be needed. Furthermore, they can limit engagement in family-centered care, exacerbate health inequities of marginalized populations and potentially delay care ( 10 , 11 ). We did not identify any prior study that has evaluated the experiences of families of pediatric inpatients regarding COVID-19 PRVR.…”

Section: Introductionmentioning

confidence: 99%

Evaluating Pediatric Families’ Understanding of and Reactions to COVID-19 Visitor Restrictions

Hyczko

Graf

et al. 2022

Journal of Patient Experience

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The COVID-19 pandemic led to changes in hospital visitor policies and little is known about the impact on patients and their families. This study evaluated families’ understanding of and reactions to COVID-19-related visitor restriction policy at an academic children's hospital. We conducted a cross-sectional study with families of patients admitted to the pediatric ICU and general pediatric wards from September 2020 to November 2020. Parents (n = 73) completed a survey assessing communication, understanding of and satisfaction with visitor policies, strategies of coping with illness, and Hospital Anxiety and Depression Scale (HADS) scores. Descriptive analyses were performed to summarize data. Associations between outcomes and participant characteristics were examined. A majority (88%) of respondents reported hospital visitor restrictions were explained, usually in-person (94%), and understood the policy “very well” (68%), but none correctly identified all reasons for visitation restrictions. Eighty-five percent reported other family/friends would have visited, however minority families were more likely to report they would have had fewer visitors if restrictions were not in place ( P = 0.0385). A majority (69%) were satisfied with how the hospital handled visitor polices, and parents of older children were more satisfied ( P < .0001). HADS scores were consistent with anxiety or depression in about half of respondents. Forty percent of respondents believed restrictions affected their own and their child's ability to cope during hospitalization. Parents expressed satisfaction with and understanding of visitor policies but did not understand the rationale for visitor restrictions. Visitor restrictions may impact parental and child coping and mental health outcomes.

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“…Originally, the prevailing opinion was that children infected with SARS-CoV-2 show asymptomatic or mild courses. Nevertheless, in the course of the COVID-19 pandemic, in addition to the discussion about potential collateral damage to the psyche of children through various lockdown measures and social distancing ( Bichard & Herring, 2020 ; Crawley et al, 2020 ; Patra et al, 2020 ; Saito, 2021 ), increasingly serious or fatal courses of illness in connection with COVID-19 were reported ( Hoste et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%