Article (Scientific journals)
Perceptions of a 24-hour visiting policy in the intensive care unit.
Garrouste-Orgeas, Maite; Philippart, Francois; Timsit, Jean Francois et al.
2008In Critical Care Medicine, 36 (1), p. 30-5
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Keywords :
Aged; Anxiety/epidemiology; Attitude of Health Personnel; Cohort Studies; Depression/epidemiology; Family/psychology; Female; Health Care Surveys; Humans; Intensive Care Units/statistics & numerical data; Male; Organizational Policy; Paris/epidemiology; Prevalence; Professional-Family Relations; Prospective Studies; Time Factors; Visitors to Patients/psychology/statistics & numerical data
Abstract :
[en] OBJECTIVE: To examine perceptions by intensive care unit (ICU) workers of unrestricted visitation, to measure visiting times, and to determine prevalence of symptoms of anxiety and depression in family members. DESIGN: Observational, prospective, single-center cohort. SETTING: Medical-surgical ICU in a 460-bed tertiary-care hospital. PATIENTS: Two hundred nine consecutive patients hospitalized >3 days were studied over the first 5 ICU days. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Characteristics of patients (n = 209), families (n = 149), and ICU workers (n = 43) were collected. ICU workers reported their perceptions of unrestricted visitation, and family members completed the Hospital Anxiety and Depression Scale. Daily severity scores (Simplified Acute Physiology Score II and Logistic Organ Failure) and a workload score (Nine Equivalents of Nursing Manpower) were computed. Maximum median visit length was 120 mins per patient per day and occurred on days 4 and 5. No correlations were found among severity of illness, workload, and visit length. For 115 patients, both nurse and physician questionnaires were available; although several differences were noted, neither nurses nor physicians perceived open visitation as disrupting patient care. The median rating for delay in organizing care was "never" for physicians and "occasionally" for nurses. Nurses perceived more disorganization of care than physicians (p = .008). Compared with nurses, the physicians reported greater family trust (p = .0023), more family stress (p = .047), and greater unease when examining the patient (p = .02). The Hospital Anxiety and Depression Scale indicated symptoms of anxiety in 73 (49%) family members and depression in 44 (29.5%). CONCLUSIONS: The 24-hr visitation policy was perceived favorably by families. It induced only moderate discomfort among ICU workers, due to the potential for care interruption, in particular for nurses.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Garrouste-Orgeas, Maite
Philippart, Francois
Timsit, Jean Francois
Diaw, Frederique
Willems, Vincent
Tabah, Alexis
Bretteville, Ghylaine
Verdavainne, Aude
Misset, Benoît ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service des soins intensifs
Carlet, Jean
Language :
English
Title :
Perceptions of a 24-hour visiting policy in the intensive care unit.
Publication date :
2008
Journal title :
Critical Care Medicine
ISSN :
0090-3493
eISSN :
1530-0293
Publisher :
Lippincott Williams & Wilkins, United States - Pennsylvania
Volume :
36
Issue :
1
Pages :
30-5
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 21 February 2020

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