Current practices regarding visitation policies in critical care units

1997 ◽  
Vol 6 (3) ◽  
pp. 210-217 ◽  
Author(s):  
SK Simon ◽  
K Phillips ◽  
S Badalamenti ◽  
J Ohlert ◽  
J Krumberger
Keyword(s):  
Critical Care ◽  
Qualitative Data ◽  
Family Members ◽  
Attitudes And Beliefs ◽  
Policy Objective ◽  
Critical Care Units ◽  
Beneficial Effects ◽  
The Family ◽  
Nurses Perceptions ◽  
Midwestern City

BACKGROUND: Previous research has emphasized the importance of visitation in critical care units and its beneficial effects on patients and their families. However, nurses' attitudes and beliefs about visitation did not correlate with those of patients and their families, nor did actual visitation practices correlate with written policy. OBJECTIVE: To investigate nurses' perceptions about open vs restricted visiting hours and the effects on the patient, the patient's family, and the nurse. METHODS: Quantitative and qualitative data were collected from 201 nurses who completed a survey instrument about nurses' perceptions of visitation at five metropolitan hospitals in a midwestern city. RESULTS: Seventy percent of official policies for visitation were restrictive. In practice, 78% of nurses were nonrestrictive in their visitation practices. Variables that affected practices regarding visiting hours were the patient's need for rest, the nurse's workload, and the beneficial effects of visitation on patients. Requests from patients and their families were ranked least important. Significant differences in practices were found regarding restriction of visiting by immediate family members and of the number of visitors. Restricted hours were perceived to decrease noise (83%) and promote patients' rest (85%). Open visitation practices were perceived to beneficially affect the patient (67%) and the patient's family (88%) and to decrease anxiety (64%). Perceptions of ideal visiting hours included restrictions on the number of visitors (75%), hours (57%), visits by children (55%), and duration of visits (54%), but no restriction on visitation by immediate family members (60%). Qualitative data revealed recurrent themes in visitation practices, policies and exceptions, control of visitation by patients, and nurses' wishes. CONCLUSION: Data indicate that most nurses do not restrict visitation, regardless of whether restrictive policies are in place. Most nurses base their visitation decisions on the needs of the patient and the nurse. Needs of the family were ranked as less important in decision making about family visitation.

scholarly journals Family caregivers’ expectations and needs in Critical Care Units

2021 ◽  
Vol 4 (2) ◽  
pp. 87-94
Author(s):  
Asma Khalil ◽  
Raisa Begum Gul
Keyword(s):  
Critical Care ◽  
Life Experience ◽  
Tertiary Care ◽  
Family Members ◽  
Structured Interview ◽  
Critical Care Units ◽  
Content Analysis Method ◽  
The Family ◽  
Need For Support ◽  
The Cost

Introduction: Patient admission into the critical care unit is usually an unpleasant and unexpected life experience for the family members, and unusual for family members to cope with stress and anxiety during their hospital stay.  Purpose: This study aimed to explore the expectations and needs of family members of the patients in critical care units at two tertiary care hospitals in Islamabad. Methodology: An exploratory descriptive design was used to address the study questions. Using purposive sampling, 14 family members were individually interviewed through a semi- structured interview guide. A conventional content analysis method was used to analyze the data through which categories and sub-categories were identified. Findings: The data analysis revealed three roles of the family members, which included assistance in physical care, facilitator in the provision of treatment and the decision maker. The participants expressed that their needs for information and assurance were being met to some extent; however, their need for support and comfort were not. Although the physical facilities for meeting the comfort were available in private hospital, it did not match the family members’ expectations. Conclusion: This study revealed that despite some similarities in the role and needs, the expectations and satisfaction of the family members is linked to their awareness of the healthcare system as well as the cost of the obtained services. The suggestions of the family members are implementable to improve their experiences and satisfaction in critical care units, which can enable them to perform their roles better. 

Parents displaying family consumption in Ireland

2021 ◽  
Author(s):  
Elizabeth Kiely ◽  
Debbie Ging ◽  
Karl Kitching ◽  
Máire Leane
Keyword(s):  
Middle Class ◽  
Qualitative Data ◽  
Family Members ◽  
Entire Field ◽  
The Family ◽  
Irish Study ◽  
Family Consumption

This article considers qualitative data collected from 78 parents in an Irish study on the commercialisation and sexualisation of children. It makes a distinctive contribution in showing that the framework of family display (Finch, 2007) can be productively applied to the entire field of family consumption. It shows that consumption narratives can be viewed as a tool that is used to display family – in other words, showing how family is done – to internal family members and to outsiders. While family display has been more often applied empirically with non-conventional families, its relevance for all families is reasserted by our data. Our application of the family display framework shows that middle-class parenting ideals are stretched and can become unstuck when displayed by middle-class parents, the constituency most associated with their production and propagation.

scholarly journals Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services

2021 ◽  
Vol 62 ◽  
pp. 102966
Author(s):  
María Teresa González-Gil ◽  
Cristina González-Blázquez ◽  
Ana Isabel Parro-Moreno ◽  
Azucena Pedraz-Marcos ◽  
Ana Palmar-Santos ◽  
...  
Keyword(s):  
Critical Care ◽  
Emergency Services ◽  
Care Delivery ◽  
Hospital Emergency ◽  
Critical Care Units ◽  
Nurses Perceptions

Needs of Patients’ Family Members in an Intensive Care Unit With Continuous Visitation

2016 ◽  
Vol 25 (2) ◽  
pp. 118-125 ◽  
Author(s):  
Mini Jacob ◽  
Cynthia Horton ◽  
Sharon Rance-Ashley ◽  
Tera Field ◽  
Robbie Patterson ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Rank Order ◽  
Family Members ◽  
Continuous Family ◽  
Convenience Sample ◽  
Critical Care Units ◽  
Level Of Satisfaction ◽  
National Organizations ◽  
High Level

BackgroundAlthough many critical care experts and national organizations support open visitation in intensive care units (ICUs), most ICU visiting policies do not allow unrestricted presence of patients’ family members.ObjectiveTo describe how well the needs of family members were met in an adult neuroscience ICU with a continuous visitation policy and an adjoining private suite for patients’ family members.MethodsAn exploratory, descriptive study design was used to identify the effects of continuous family visitation in the neuroscience ICU on patients’ family members and their needs and experiences during their time in the unit. A convenience sample of consenting family members completed a survey of family need items 72 hours after the patient was admitted to the unit.ResultsThe most important needs identified by the 45 family members surveyed were items relating to information about the patient, visiting the patient, being given hope, talking with a doctor each day, and being assured that the best care is being given to the patient. Least important items were related to physical comforts for the family members. The vast majority of family members rated their needs as being met for all of the items in the survey and reported a high level of satisfaction with care.ConclusionIn a neuroscience ICU with an open visitation policy and a private suite for patients’ family members, family members rated their needs as being met at a high level, unlike in prior studies in units with limitations on family visitation. The rank order of the importance of each need in the survey was similar to rankings in prior studies in a variety of critical care units.

scholarly journals Perception of Nurses on Needs of Family Members of Patient Admitted to Critical Care Units of Teaching Hospital, Chitwan Nepal: A Cross-Sectional Institutional Based Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Ishwori Khatri Chhetri ◽  
Bedantakala Thulung
Keyword(s):  
Critical Care ◽  
Teaching Hospital ◽  
Family Members ◽  
College Teaching ◽  
Patient Treatment ◽  
Family Needs ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Medical College ◽  
Significant Difference

Background. Critical care units’ nurses should seek to develop collaborative relationships with patients’ family members based on their needs and help them to cope with their distress. The objective of this study was to find out the perception of nurses on needs of family members of patients admitted to critical care units.Methods. A descriptive cross-sectional study was conducted in Chitwan Medical College Teaching Hospital among all 65 nurses working in critical care units. Ethical clearance was obtained from Chitwan Medical College Institutional Review Committee. Data were collected from March 27 to April 25, 2016, using Critical Care Family Needs Inventory (CCFNI). Obtained data were analyzed using descriptive and inferential statistics.Results. This study found that mean age of the nurses was 23.98 ± 4.05 years. More than half of the nurses had completed PCL in nursing (52.3%) and had 1-5 years of experience in critical care units (58.5%). Nurses ranked the needs for assurance as most important needs with mean percent (86.25%) followed by needs for information (78.58%), need for comfort (69.59%), needs for closeness (69%), and needs for support (64.13%). Out of 45 family needs, 81.5% of nurses perceived that knowing about patient treatment is very important for family members. Married nurses perceived the needs for support to be more important than unmarried nurses (p=0.04) whereas unmarried nurses perceived the needs for information to be more important than married (p=<0.01). There was significant difference on perception of nurses on needs of assurance with ethnicity (p=0.009) and critical care experience (p=0.04).

scholarly journals BUILDING COMMUNICATION BETWEEN FAMILY MEMBERS AS A FORT OF FAMILY RESILIENCE

1970 ◽  
Vol 21 (2) ◽  
pp. 249-262
Author(s):  
Jeri Ariansyah
Keyword(s):  
Qualitative Data ◽  
Fundamental Problem ◽  
Family Members ◽  
Research Literature ◽  
Communication Patterns ◽  
Family Resilience ◽  
Conceptual Approach ◽  
Library Research ◽  
The Social ◽  
The Family

This paper discusses about building communication between family members as a fortress of family resilience. The family is the basis for maintaining diversity, the family is very important to maintain the social understanding of family. As social beings, humans are never separated from communication. Communication is often a fundamental problem in one's family household relations, especially what often becomes a conflict is communication between husband and wife who lacks understanding of the concept of communication patterns in the family in order to maintain family resilience in the household. The purpose of this paper is to provide and express the concepts and principles of communication in the family so that it can be a solution on how to build communication in the family that can fortify family resilience. As for the focus in this paper is how the concept of communication patterns, communication as an ethical value to realize family resilience, communication as the realization of ma'ruf relationships in the family, the theory of ethical values ​​and their relevance to the family communication system and the concept of family resilience. This paper is included in the type of normative legal research literature (library research). By using a conceptual approach and a statutory approach. the type of data in this study using qualitative data. The results of this paper conclude that family resilience is very influential on the concept of communication in the family. By understanding the concepts and principles of communication patterns between family members, they can maintain resilience and strength in the family, so that they can realize the purpose of marriage, namely forming a sakinah, mawaddah and rahmah family as contained in the Qur'an Surah Ar-Rum verse 21. Keywords: communication, family resilience, social

Use of technological equipment in critical care units: nurses’ perceptions in Greece

2006 ◽  
Vol 15 (2) ◽  
pp. 178-187 ◽  
Author(s):  
Panagiotis Kiekkas ◽  
Maria Karga ◽  
Maria Poulopoulou ◽  
Irini Karpouhtsi ◽  
Vasileios Papadoulas ◽  
...  
Keyword(s):  
Critical Care ◽  
Technological Equipment ◽  
Critical Care Units ◽  
Nurses Perceptions

scholarly journals Nurses’ Perceptions of Family Presence during Resuscitation

2014 ◽  
Vol 23 (6) ◽  
pp. e88-e96 ◽  
Author(s):  
Kelly Tudor ◽  
Jill Berger ◽  
Barbara J. Polivka ◽  
Rachael Chlebowy ◽  
Beena Thomas
Keyword(s):  
Life Support ◽  
Family Members ◽  
Urban Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Family Presence ◽  
Convenience Sample ◽  
Self Confidence ◽  
The Family ◽  
Nurses Perceptions

Background Although strong evidence indicates that the presence of a patient’s family during resuscitation has a positive effect on the family, the practice is still controversial and is not consistently implemented. Objectives To explore nurses’ experience with resuscitation, perceptions of the benefits and risks of having a patient’s family members present, and self-confidence in having family presence at their workplace. Differences in demographic characteristics and relationships between nurses’ perceptions of self-confidence and perceived risks and benefits of family presence were evaluated. Methods The study was descriptive, with a cross-sectional survey design. A convenience sample of 154 nurses working in inpatient and outpatient units at an urban hospital were surveyed. The 63-item survey included 2 previously validated scales, demographic questions, and opinion questions. Results Nurses’ self-confidence and perceived benefit of family presence were significantly related (r = 0.54; P &lt; .001). Self-confidence was significantly greater in nurses who had completed training in Advanced Cardiac Life Support, had experienced 10 or more resuscitation events, were specialty certified, or were members of nurses’ professional organizations. Barriers to family presence included fear of interference by the patient’s family, lack of space, lack of support for the family members, fear of trauma to family members, and performance anxiety. Conclusions Changing the practice of family presence will require strengthening current policy, identifying a team member to attend to the patient’s family during resuscitation, and requiring nurses to complete education on evidence that supports family presence and changes in clinical practice.

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