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An evaluation of family-centered care services and organization of visiting policies in Belgian intensive care units: a multicenter survey

Dominique Vandijck UGent, Sonia Labeau UGent, Cindy E Geerinckx, Ellen De Puydt, Ann C Bolders, Brigitte Claes and Stijn Blot UGent (2010) HEART & LUNG. 39(2). p.137-146
abstract
BACKGROUND: Admission in an intensive care unit (ICU) is a major cause of psychologic stress for the patient and the entire family, and liberalization of visitation has been shown to have a beneficial impact. However, despite the data available, practice has not changed much to incorporate these findings. OBJECTIVE: This study aimed to evaluate the visiting policies of Belgian ICUs. METHODS: A descriptive multicenter questionnaire survey was prospectively conducted. RESULTS: Fifty-seven ICUs completed the questionnaire (75.0%). All (100%) reported restricted visiting-hour policies, and limited numbers of visitors. Mean total daily visiting time was 69 +/- 33 minutes. The type of visitors was restricted to only immediate relatives in 11 ICUs (19.3%). Children were not allowed in 5 ICUs (8.8%), and 46 ICUs (80.7%) fixed an age limit for visiting. Thirty ICUs (52.6%) were providing families with information in a special room in addition to the waiting room, whereas 6 (10.5%) reported having no waiting room available, and 9 ICUs (15.8%) provided an information leaflet. A structured first family meeting at time of admission was organized in 42 ICUs (73.7%). A final family meeting at ICU discharge was planned in only 16 centers (28.1%). CONCLUSION: Participating ICUs homogeneously reported restricted visiting policies regarding visiting hours and type and number of visitors. According to the evidence available, providing a plea for more liberal visitation, these results may be a first step toward reorganization of visiting policies in Belgian ICUs.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
critically ill patients, evidence-based guidelines, ventilator-associated pneumonia, knowledge test, needs, nurses knowledge, evaluation questionnaire, prevention, physicians, members
journal title
HEART & LUNG
Heart Lung
volume
39
issue
2
pages
137 - 146
Web of Science type
Article
Web of Science id
000279415400007
JCR category
NURSING
JCR impact factor
1.508 (2010)
JCR rank
11/88 (2010)
JCR quartile
1 (2010)
ISSN
0147-9563
DOI
10.1016/j.hrtlng.2009.06.001
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1149570
handle
http://hdl.handle.net/1854/LU-1149570
date created
2011-02-14 16:04:35
date last changed
2016-12-19 15:41:08
@article{1149570,
  abstract     = {BACKGROUND: Admission in an intensive care unit (ICU) is a major cause of psychologic stress for the patient and the entire family, and liberalization of visitation has been shown to have a beneficial impact. However, despite the data available, practice has not changed much to incorporate these findings.
OBJECTIVE: This study aimed to evaluate the visiting policies of Belgian ICUs.
METHODS: A descriptive multicenter questionnaire survey was prospectively conducted.
RESULTS: Fifty-seven ICUs completed the questionnaire (75.0\%). All (100\%) reported restricted visiting-hour policies, and limited numbers of visitors. Mean total daily visiting time was 69 +/- 33 minutes. The type of visitors was restricted to only immediate relatives in 11 ICUs (19.3\%). Children were not allowed in 5 ICUs (8.8\%), and 46 ICUs (80.7\%) fixed an age limit for visiting. Thirty ICUs (52.6\%) were providing families with information in a special room in addition to the waiting room, whereas 6 (10.5\%) reported having no waiting room available, and 9 ICUs (15.8\%) provided an information leaflet. A structured first family meeting at time of admission was organized in 42 ICUs (73.7\%). A final family meeting at ICU discharge was planned in only 16 centers (28.1\%).
CONCLUSION: Participating ICUs homogeneously reported restricted visiting policies regarding visiting hours and type and number of visitors. According to the evidence available, providing a plea for more liberal visitation, these results may be a first step toward reorganization of visiting policies in Belgian ICUs.},
  author       = {Vandijck, Dominique and Labeau, Sonia and Geerinckx, Cindy E and De Puydt, Ellen and Bolders, Ann C and Claes, Brigitte and Blot, Stijn},
  issn         = {0147-9563},
  journal      = {HEART \& LUNG},
  keyword      = {critically ill patients,evidence-based guidelines,ventilator-associated pneumonia,knowledge test,needs,nurses knowledge,evaluation questionnaire,prevention,physicians,members},
  language     = {eng},
  number       = {2},
  pages        = {137--146},
  title        = {An evaluation of family-centered care services and organization of visiting policies in Belgian intensive care units: a multicenter survey},
  url          = {http://dx.doi.org/10.1016/j.hrtlng.2009.06.001},
  volume       = {39},
  year         = {2010},
}

Chicago
Vandijck, Dominique, Sonia Labeau, Cindy E Geerinckx, Ellen De Puydt, Ann C Bolders, Brigitte Claes, and Stijn Blot. 2010. “An Evaluation of Family-centered Care Services and Organization of Visiting Policies in Belgian Intensive Care Units: a Multicenter Survey.” Heart & Lung 39 (2): 137–146.
APA
Vandijck, D., Labeau, S., Geerinckx, C. E., De Puydt, E., Bolders, A. C., Claes, B., & Blot, S. (2010). An evaluation of family-centered care services and organization of visiting policies in Belgian intensive care units: a multicenter survey. HEART & LUNG, 39(2), 137–146.
Vancouver
1.
Vandijck D, Labeau S, Geerinckx CE, De Puydt E, Bolders AC, Claes B, et al. An evaluation of family-centered care services and organization of visiting policies in Belgian intensive care units: a multicenter survey. HEART & LUNG. 2010;39(2):137–46.
MLA
Vandijck, Dominique, Sonia Labeau, Cindy E Geerinckx, et al. “An Evaluation of Family-centered Care Services and Organization of Visiting Policies in Belgian Intensive Care Units: a Multicenter Survey.” HEART & LUNG 39.2 (2010): 137–146. Print.