scholarly journals Why and how to open intensive care units to family visits during the pandemic

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Giovanni Mistraletti ◽  
Alberto Giannini ◽  
Giuseppe Gristina ◽  
Paolo Malacarne ◽  
Davide Mazzon ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members ◽  
The Other ◽  
Local Setting ◽  
Strategic Goals ◽  
A Priority ◽  
Hospital Wards ◽  
Operational Guidance

AbstractSince the lockdown because of the pandemic, family members have been prohibited from visiting their loved ones in hospital. While it is clearly complicated to implement protocols for the admission of family members, we believe precise strategic goals are essential and operational guidance is needed on how to achieve them. Even during the pandemic, we consider it a priority to share strategies adapted to every local setting to allow family members to enter intensive care units and all the other hospital wards.

scholarly journals Intensive care unit discharge: mind the gap!

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cristian Deana ◽  
Giovanni Sermann ◽  
Amato De Monte
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Intensive Care Unit Discharge ◽  
The Other ◽  
Level Of Care ◽  
Unit Discharge ◽  
Severity Of The Disease ◽  
Hospital Wards

AbstractMortality after intensive care discharge is a hot topic in critical care medicine. Many factors probably play a role: patient’s comorbidities and severity of the disease may have great impact on mortality. However it should be taken into account also the level of care that characterizes the ward in which the patient is discharged to. A soft transition from intensive care units to the other hospital wards is desirable to avoid the traumatic step that the fragile post-ICU patient has to face with.

Main information requests of family members of patients in Intensive Care Units

2018 ◽  
Vol 42 (6) ◽  
pp. 337-345
Author(s):  
J.M. Velasco Bueno ◽  
A. Alonso-Ovies ◽  
G. Heras La Calle ◽  
C. Zaforteza Lallemand
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members ◽  
Information Requests

Family-Centered Communication and Acute Stress in Israeli Intensive Care Units

2019 ◽  
Vol 28 (4) ◽  
pp. 274-280 ◽  
Author(s):  
Freda DeKeyser Ganz ◽  
Gilat Yihye ◽  
Nicole Beckman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Perceived Stress ◽  
Acute Stress ◽  
Family Members ◽  
Personal Characteristics ◽  
Perceived Stress Scale ◽  
Stress Scale ◽  
Family Centered

Background Intensive care unit stays can be stressful for patients’ family members. Family-centered communication has 6 components: fostering relationships, exchanging information, responding to emotions, managing uncertainty, making decisions, and enabling patient self-management. Whether these communication components decrease family members’ stress is unknown. Objective To describe levels of family-centered communication and associations with acute stress while patients are in the intensive care unit. Methods A convenience sample of 130 family members of patients in 2 intensive care units in a Jerusalem, Israel, tertiary medical center received a family-centered communication questionnaire, the Perceived Stress Scale, and a personal characteristics questionnaire. Results Most respondents were women (n = 79, 60.8%), children of the patient (n = 67, 51.9%), and familiar with the patient’s diagnosis (n = 111, 85.4%). Mean (SD) participant age was 45.7 (13.6) years. Most considered the patient medically stable (n = 75, 57.7%). Mean (SD) intensive care unit stay was 7.45 (5.8) days. Mean (SD) total and item scores for family-centered communication were 98.75 (18.21) and 3.80 (0.70), respectively; for the Perceived Stress Scale, 19.63 (5.92) and 1.96 (0.59), respectively. Relationship building (r = −0.31, P = .002), participation in care management (r = −0.32, P = .001), and emotional support (r = −0.29, P = .003), and were significantly related to stress. Conclusions Stress levels were mild to moderate and communication scores were moderate to high. Better nurse communication with family members was associated with decreased acute stress, irrespective of personal characteristics or perceptions of the patient’s medical status.

Family members’ experiences in adult intensive care units: a systematic review

2019 ◽  
Vol 33 (3) ◽  
pp. 569-581 ◽  
Author(s):  
Masoomeh Imanipour ◽  
Frank Kiwanuka ◽  
Sanaz Akhavan Rad ◽  
Ronald Masaba ◽  
Yisak Hagos Alemayehu
Keyword(s):  
Systematic Review ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members

scholarly journals Information and support needs of adult family members of patients in intensive care units: an Iranian perspective

2015 ◽  
Vol 20 (5) ◽  
pp. 401-422 ◽  
Author(s):  
Razieh Bandari ◽  
Majideh Heravi-Karimooi ◽  
Nahid Rejeh ◽  
Majid Mirmohammadkhani ◽  
Mojtaba Vaismoradi ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members ◽  
Support Needs

Patient, Family, and Physician Satisfaction With Planning for Direct Discharge to Home From Intensive Care Units: Direct From ICU Sent Home Study

2017 ◽  
Vol 35 (1) ◽  
pp. 82-90 ◽  
Author(s):  
Joyce Nga Hei Lam ◽  
Vincent I. Lau ◽  
Fran A. Priestap ◽  
John Basmaji ◽  
Ian M. Ball
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members ◽  
Patient Discharge ◽  
Health Care Team ◽  
Physician Satisfaction ◽  
Allied Health Professionals ◽  
New Era ◽  
Attending Physician ◽  
Direct Discharge

Background: In the new era of decreasing hospital bed availability, there is an increasing rate of direct discharge to home (DDH) from intensive care units (ICUs), despite sparse literature informing this practice. Objectives: To evaluate patient, family, and ICU attending physician satisfaction with planning for DDH from the ICU and intensivists’ current DDH practices and perceptions. Methods: Prospective cohort study, using convenience sampling, of adult patients undergoing DDH from an ICU between February 2016 and February 2017 using a modified FS-ICU 24 satisfaction survey completed by patients, family members, and attending physicians at the time of patient discharge to home from the ICU. Results: Seventy-two percent of patients, 37% of family members, and 100% of ICU physicians recruited completed the survey. A majority of patients (89%) and families (78%) were satisfied or very satisfied with DDH. Only 6% of patients and 8% of families were dissatisfied to very dissatisfied with DDH. Conversely, ICU physician satisfaction varied, with only 5% being very comfortable with DDH and the majority (50%) only somewhat comfortable. Twenty percent of staff consultants were uncomfortable to very uncomfortable with the practice of DDH. Thirty-one percent of staff physician respondents felt that patient and family discomfort would be barriers to DDH. Compared to physicians and other allied health professionals, nurses were identified as the most helpful members of the health-care team in preparation for DDH by 98% of patients and 92% of family members. The DDH rates have increased for the past 12 years in our ICUs but declined during the study period (February 2016 to February 2017). Conclusions: Patients and family members are satisfied with the practice of DDH from ICU, although ICU physician satisfaction is more variable. Physician comfort may be improved by data informing which patients may be safely DDH from the ICU.

scholarly journals Nurses’ experiences of interactions with family members in intensive care units

2003 ◽  
Vol 17 (2) ◽  
pp. 185-192 ◽  
Author(s):  
Ing-Mari Söderström ◽  
Eva Benzein ◽  
Britt-Inger Saveman
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members

scholarly journals Otolaryngologists’ Role in Redeployment During the COVID-19 Pandemic: A Commentary

2020 ◽  
Vol 163 (1) ◽  
pp. 94-95 ◽  
Author(s):  
Taha Z. Shipchandler ◽  
B. Ryan Nesemeier ◽  
Cecelia E. Schmalbach ◽  
Jonathan Y. Ting
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Emergency Departments ◽  
Health Care Systems ◽  
Care Community ◽  
Care Systems ◽  
Hospital Wards

As otolaryngologists, we identify as subspecialists and fellowship-trained surgeons and may even identify as “super-subspecialists.” The likelihood of being redeployed and drawing from knowledge learned during our postgraduate year 1 training seemed exceedingly unlikely until physician resources became scarce in some health care systems during the COVID-19 pandemic. More now than ever, it is evident that our broad training is valuable in helping patients and allowing the otolaryngologist to meaningfully contribute to the larger health care community, especially while the majority (70%-95%) of elective care is delayed. With our skill set, otolaryngologists are poised to support various aspects of hospital wards, intensive care units, emergency departments, and beyond.

scholarly journals Family members' beliefs and attitudes towards visiting policy in the intensive care units of Ghana

Nursing Open ◽  
2019 ◽  
Vol 6 (2) ◽  
pp. 526-534 ◽  
Author(s):  
Yakubu H. Yakubu ◽  
Maryam Esmaeili ◽  
Elham Navab
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members ◽  
Beliefs And Attitudes ◽  
Visiting Policy
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