Conditions and strategies to meet the challenges imposed by the COVID-19-related visiting restrictions in the intensive care unit: A Scandinavian cross-sectional study.

Adult COVID-19 Child Cross-Sectional Studies Humans Intensive Care Units Norway SARS-CoV-2
COVID-19 Family ICU Relatives Survey Visitation

Journal

Intensive & critical care nursing
ISSN: 1532-4036
Titre abrégé: Intensive Crit Care Nurs
Pays: Netherlands
ID NLM: 9211274

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 20 05 2021
revised: 01 07 2021
accepted: 16 07 2021
pubmed: 16 8 2021
medline: 24 12 2021
entrez: 15 8 2021
Statut: ppublish

Résumé

To examine conditions and strategies to meet the challenges imposed by the coronavirus disease 2019 (COVID-19)-related visiting restrictions in Scandinavian intensive care units. A cross-sectional survey. Adult intensive care units in Denmark, Norway and Sweden. Likert scale responses and free-text comments within six areas: capacity and staffing, visiting policies and access to the unit, information and conferences with relatives, written information, children as relatives and follow-up initiatives. The overall response rate was 53% (74/140 participating units). All intensive care units had planned for capacity extensions; the majority ranging between 11 and 30 extra beds. From March-June 2020, units had a mean maximum of 9.4 COVID-19 patients simultaneously. Allowing restricted visiting was more common in Denmark (52%) and Norway (61%) than in Sweden where visiting was mostly denied except for dying patients (68%), due to a particular increased number of COVID-19 patients. The restrictions forced nurses to compromise on their usual standards of family care. Numerous models for maintaining contact between relatives and patients were described. Visitation restrictions compromised the quality of family care and entailed dilemmas for healthcare professionals but also spurred initiatives to developing new ways of providing family care.

Identifiants

DOI: 10.1016/j.iccn.2021.103116 PMID: 34391628 PMC: PMC8310723
pubmed: 34391628
pii: S0964-3397(21)00105-1
doi: 10.1016/j.iccn.2021.103116
pmc: PMC8310723
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

103116

Informations de copyright

Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.

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Auteurs

Hanne Irene Jensen (HI)

Department of Anaesthesiology and Intensive Care, Kolding Hospital, University Hospital of Southern Denmark, Kolding, Denmark; Department of Anaesthesiology and Intensive Care, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. Electronic address: hanne.irene.jensen@rsyd.dk.

Eva Åkerman (E)

Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Sweden; Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Ranveig Lind (R)

Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway; Intensive Care Unit, University Hospital of North Norway, Tromsø, Norway.

Hanne Birgit Alfheim (HB)

Faculty of Health, VID Specialized University, Oslo, Norway.

Gro Frivold (G)

Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway.

Isabell Fridh (I)

Department of Anaesthesiology, Surgery, and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden; Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.

Anne Sophie Ågård (AS)

Department of Intensive Care, Aarhus University Hospital, Aarhus, Denmark; Department of Science in Nursing, Aarhus University, Aarhus, Denmark.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Conditions and strategies to meet the...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Conditions and strategies to meet the...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Conditions and strategies to meet the...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Conditions and strategies to meet the...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Conditions and strategies to meet the...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › Conditions and strategies to meet the...
questionsmedicales.fr › Régions géographiques › Europe › Pays nordiques et scandinaves › Norvège › Conditions and strategies to meet the...
questionsmedicales.fr › Virus › Virus à ARN › Virus à ARN à brin positif › Nidovirales › Coronaviridae › Coronavirus › Betacoronavirus › Virus du SRAS › SARS-CoV-2 › Conditions and strategies to meet the...