Ann Hart, MSN, RN, NEA-BC, is clinical facilitator at Caromont Regional Medical Center in Gastonia, North Carolina. Sonya R. Hardin, PhD, RN, CCRN, ACNS-BC, NP-C, is professor at the College of Nursing, East Carolina University, Greenville, North Carolina. Amy P. Townsend, MSN, ANP-BC, is adult nurse practitioner in pulmonary critical care, Wake Forest Baptist Medical Center, Winston Salem, North Carolina. Stephanie Ramsey, MSN, NP-C, is a nurse practitioner at Kings Mountain Medical Center in Kings Mountain, North Carolina. April Mahrle-Henson, MSN, RN, PCCN, AGPCNP-BC, Gastonia Medical Specialty Clinic in Gastonia, North Carolina.
The purpose of the study was to explore the satisfaction of patients' families and nurses with visitation guidelines in the 5 critical care units at a 435-bed acute care hospital in the southeastern part of the United States.
The restriction of visitation hours for intensive care unit patients has significant implications for the health and well-being of the patient and their family. Although traditionally both facilities and staff have cited reasons to restrict family visitation, research indicates that these practices may have a detrimental effect on the overall health of the patient.
A descriptive correlational design is utilized in this study. Subjects consisted of family members of patients in 1 of the 5 critical care units and nurses providing care in these units. Family and nurses completed a questionnaire on their perspective of the critical care visiting hours.
The majority of families visiting patients in the critical care setting followed the posted guidelines and were very satisfied with the guidelines. The hours most convenient for families to visit at the bedside were from 4 to 8 PM. The majority of nurses wanted to keep visiting hours during day-shift hours; family members were divided on having all hours available for visitation. Nurses had varied perspectives on whether visitation should be allowed as a restraint alternative, when family is out of town, patient emotional needs, eminent death, at time of discharge instructions, and to speak with a physician.
Family member visitation in the intensive care unit setting should be flexible and open. This may include tailoring a plan on admission with the family to allow open access to the patient during times when they are most available; thus, each family has a plan that suits its unique dynamics.
[Show abstract][Hide abstract] ABSTRACT: To determine the relationship between cardiac performance (as measured by heart rate and ectopy) and unrestricted vs restricted visiting hours in the coronary care unit.
Patients were from two coronary care units. Group A had unrestricted visiting hours, and group B had restricted visiting hours. Heart rate and ectopy were measured three times both in patients with unrestricted visiting hours and in those with restricted visiting hours: (1) before visitors arrived, (2) 5 minutes after visitors arrived and (3) 1 to 5 minutes after the visitors left. A total of 25 visits were analyzed.
There were no significant differences in rates of premature ventricular contractions and premature atrial contractions between the two groups. Patients with unrestricted visiting hours had a significantly lower heart rate after visits than patients with restricted visits.
Consideration should be given to development of unrestricted visiting policies that promote the continuing presence and natural support of the family and significant others for patients in coronary care units.
American Journal of Critical Care 04/1993; 2(2):134-6. · 2.12 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: In many coronary care areas there are still restricted visiting times (Shaw 1989). This investigative study describes some relevant research in this area, and documents a small study of 14 nurses in two coronary care units (CCUs). A semi-structured interview was used to obtain information regarding nurses' attitudes to visiting. The results showed that the majority of these nurses are flexible when it comes to visiting, and expressed a relaxed attitude to it. Although in the area investigated visiting times are specified, some nurses consider and act on the concept of individualised patient care. However, there are still some nurses who insist on doing everything for the patient in the morning and only allow relatives access in the afternoon. These nurses also believe visiting times are precious to the patients and relatives and will not intrude on them, which may limit communication.
Intensive and Critical Care Nursing 10/1994; 10(3):224-33. DOI:10.1016/0964-3397(94)90025-6
[Show abstract][Hide abstract] ABSTRACT: A decade of research has generated controversy and speculation over the ideal visiting practices in the adult intensive care unit (ICU). Analysis of the growing body of research can now be applied to review and revise existing visiting policies. This article provides an analysis of both classic and current research surrounding visiting hours in the ICU and suggests recommendations to guide the nurse in incorporating research-based strategies into practice.
Dimensions of Critical Care Nursing 11/1994; 14(5):245-58.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.