Claire J Creutzfeldt1,2, Rachael E C Schutz1, Darin B Zahuranec3, Barbara J Lutz4, J Randall Curtis5,2, Ruth A Engelberg5,2. 1. Department of Neurology, University of Washington, Harborview Medical Center, Seattle, Washington, USA. 2. Cambia Palliative Care Center of Excellence at University of Washington, Harborview Medical Center, Seattle, Washington, USA. 3. Department of Neurology, University of Michigan, Ann Arbor, Michigan, USA. 4. School of Nursing, University of North Carolina at Wilmington, Wilmington, North Carolina, USA. 5. Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Harborview Medical Center, Seattle, Washington, USA.
Abstract
Objectives: The global COVID-19 pandemic made strict visitation policies necessary. We explored the experiences of family members of patients with severe acute brain injury focusing on the impact of family presence in the hospital. Methods: Semistructured interviews (February 2018-April 2020) were audiotaped, transcribed, and analyzed using thematic analysis. Results: We interviewed family members of 19 patients with stroke, traumatic brain injury, or cardiac arrest; five interviews occurred after initiation of restrictive visitation policies. Four key themes highlight the role of visitation on family's ability to (1) cope by being at the bedside, (2) protect and advocate for the patient, (3) build trust with clinicians, and (4) receive emotional support in the intensive care unit. After visitation restrictions, families found ways to communicate and support virtually and wished for proactive communication from clinicians. Conclusions: Family presence at patient's bedside fulfills important needs. Visitation restrictions require hospitals to be creative and inclusive to help maintain these connections.
Objectives: The global COVID-19 pandemic made strict visitation policies necessary. We explored the experiences of family members of patients with severe acute brain injury focusing on the impact of family presence in the hospital. Methods: Semistructured interviews (February 2018-April 2020) were audiotaped, transcribed, and analyzed using thematic analysis. Results: We interviewed family members of 19 patients with stroke, traumatic brain injury, or cardiac arrest; five interviews occurred after initiation of restrictive visitation policies. Four key themes highlight the role of visitation on family's ability to (1) cope by being at the bedside, (2) protect and advocate for the patient, (3) build trust with clinicians, and (4) receive emotional support in the intensive care unit. After visitation restrictions, families found ways to communicate and support virtually and wished for proactive communication from clinicians. Conclusions: Family presence at patient's bedside fulfills important needs. Visitation restrictions require hospitals to be creative and inclusive to help maintain these connections.
Authors: Audra N Iness; Jefferson O Abaricia; Wendemi Sawadogo; Caleb M Iness; Max Duesberg; John Cyrus; Vinay Prasad Journal: Am J Med Date: 2022-04-25 Impact factor: 5.928
Authors: Anny Fenton; Sandra Stevens; Zachary Cost; Jaime Bickford; Michael Kohut; Elizabeth A Jacobs; Rebecca N Hutchinson Journal: J Hosp Med Date: 2022-08-03 Impact factor: 2.899