AIM: We aimed at assessing the opinion and degree of acceptance of physicians and nurses in Intensive Care Units (ICUs) toward an open ICU as our regional ethical committee has advised that ICU visitation policies be reformed using such a new approach. METHODS: This was a descriptive, cross-sectional, multicenter survey using the Beliefs and Attitudes toward Visitation in ICU Questionnaire mailed to the ICUs in our region. RESULTS: A total of 28 ICUs were invited, and 25 agreed to participate in this survey; 377 nurses and 230 physicians were surveyed with overall response rates of 94.9%% and 84.7%%, respectively. Nurses considered an open visiting policy to be an infringement on patient privacy (P<0.01), a possible interference with interactions between caregivers (P<0.01) and an impediment to their duties (P<0.05). They also significantly differed from physicians in considering open visitations a cause of more adverse hemodynamic events (P<0.05) and higher physiological and psychological stress for patients (P<0.05). With regard to attitudes, nurses strongly disagreed more frequently with the following: allowing everyone to visit the patient, accepting an open visitation policy in their unit, giving control of the visitation policy to the patient (P<0.01) and adapting visitation to the culture/ethnicity of the patients (P<0.0001). CONCLUSIONS: This study points out that, in our region, physicians are more liberal and able than nurses to "customize" their wards to the specific psychosocial and emotional needs of patients and visitors.
AIM: We aimed at assessing the opinion and degree of acceptance of physicians and nurses in Intensive Care Units (ICUs) toward an open ICU as our regional ethical committee has advised that ICU visitation policies be reformed using such a new approach. METHODS: This was a descriptive, cross-sectional, multicenter survey using the Beliefs and Attitudes toward Visitation in ICU Questionnaire mailed to the ICUs in our region. RESULTS: A total of 28 ICUs were invited, and 25 agreed to participate in this survey; 377 nurses and 230 physicians were surveyed with overall response rates of 94.9%% and 84.7%%, respectively. Nurses considered an open visiting policy to be an infringement on patient privacy (P<0.01), a possible interference with interactions between caregivers (P<0.01) and an impediment to their duties (P<0.05). They also significantly differed from physicians in considering open visitations a cause of more adverse hemodynamic events (P<0.05) and higher physiological and psychological stress for patients (P<0.05). With regard to attitudes, nurses strongly disagreed more frequently with the following: allowing everyone to visit the patient, accepting an open visitation policy in their unit, giving control of the visitation policy to the patient (P<0.01) and adapting visitation to the culture/ethnicity of the patients (P<0.0001). CONCLUSIONS: This study points out that, in our region, physicians are more liberal and able than nurses to "customize" their wards to the specific psychosocial and emotional needs of patients and visitors.
Authors: Alberto Giannini; Guido Miccinesi; Edi Prandi; Carlotta Buzzoni; Claudia Borreani Journal: Intensive Care Med Date: 2013-09-07 Impact factor: 17.440
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Authors: Cecilia Inés Loudet; María Cecilia Marchena; María Roxana Maradeo; Silvia Laura Fernández; María Victoria Romero; Graciela Esther Valenzuela; Isabel Eustaquia Herrera; Martha Teresa Ramírez; Silvia Rojas Palomino; Mariana Virginia Teberobsky; Leandro Ismael Tumino; Ana Laura González; Rosa Reina; Elisa Estenssoro Journal: Rev Bras Ter Intensiva Date: 2017 Jan-Mar
Authors: Fernando José da Silva Ramos; Renata Rego Lins Fumis; Luciano Cesar Pontes Azevedo; Guilherme Schettino Journal: Ann Intensive Care Date: 2013-10-17 Impact factor: 6.925