MEDLINE Journals

    Perceptions of a 24-hour visiting policy in the intensive care unit.

    Authors

    Garrouste-Orgeas M, Philippart F, Timsit JF, et al. 

    Source

    Crit Care Med 2008 Jan; 36(1) :30-5.

    Abstract

    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.

    Mesh

    Aged
    Anxiety
    Attitude of Health Personnel
    Cohort Studies
    Depression
    Family
    Female
    Health Care Surveys
    Humans
    Intensive Care Units
    Male
    Organizational Policy
    Paris
    Prevalence
    Professional-Family Relations
    Prospective Studies
    Time Factors
    Visitors to Patients

    Language

    eng

    Pub Type(s)

    Journal Article

    PubMed ID

    18090167

    Content Manager
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