Untitled

Rogers, Sandra

doi:10.1186/cc2930

Cited by 36 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Limitation of hospital visitation policies during the COVID-19 pandemic is important for public health protection and safety ( 1 ), in order to minimize transmission to patients, staff, visitors, and within the community. Based on broad guidelines provided by the CDC ( 2 ), visitor policies have been uniformly implemented by hospitals that limit the number of people allowed to visit patients, with individual hospital policies varying regarding number of visitors, visitors’ relationship to patients, and visitor age ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Evaluating Pediatric Families’ Understanding of and Reactions to COVID-19 Visitor Restrictions

Hyczko

Graf

et al. 2022

Journal of Patient Experience

View full text Add to dashboard Cite

The COVID-19 pandemic led to changes in hospital visitor policies and little is known about the impact on patients and their families. This study evaluated families’ understanding of and reactions to COVID-19-related visitor restriction policy at an academic children's hospital. We conducted a cross-sectional study with families of patients admitted to the pediatric ICU and general pediatric wards from September 2020 to November 2020. Parents (n = 73) completed a survey assessing communication, understanding of and satisfaction with visitor policies, strategies of coping with illness, and Hospital Anxiety and Depression Scale (HADS) scores. Descriptive analyses were performed to summarize data. Associations between outcomes and participant characteristics were examined. A majority (88%) of respondents reported hospital visitor restrictions were explained, usually in-person (94%), and understood the policy “very well” (68%), but none correctly identified all reasons for visitation restrictions. Eighty-five percent reported other family/friends would have visited, however minority families were more likely to report they would have had fewer visitors if restrictions were not in place ( P = 0.0385). A majority (69%) were satisfied with how the hospital handled visitor polices, and parents of older children were more satisfied ( P < .0001). HADS scores were consistent with anxiety or depression in about half of respondents. Forty percent of respondents believed restrictions affected their own and their child's ability to cope during hospitalization. Parents expressed satisfaction with and understanding of visitor policies but did not understand the rationale for visitor restrictions. Visitor restrictions may impact parental and child coping and mental health outcomes.

show abstract

Section: Introductionmentioning

confidence: 99%

Evaluating Pediatric Families’ Understanding of and Reactions to COVID-19 Visitor Restrictions

Hyczko

Graf

et al. 2022

Journal of Patient Experience

View full text Add to dashboard Cite

show abstract

“…Restriction or complete prohibition of family visiting the ICU has been deemed necessary because of concerns around virus transmission to and from visitors ( 1 , 2 ). Such policies reflect a utilitarian stance ( 3 ) (i.e., the greatest good for the greatest number) and have been instituted previously during severe acute respiratory syndrome (SARS) ( 4 ). Before the COVID-19 pandemic, ICU visiting policies have historically limited the family presence at the bedside and in some countries have restricted visiting by individuals not deemed to meet the legal definition of a family member or substitute decision-maker or family consultee ( 5 – 7 ).…”

mentioning

confidence: 99%

Communication and Virtual Visiting for Families of Patients in Intensive Care during the COVID-19 Pandemic: A UK National Survey

et al. 2021

View full text Add to dashboard Cite

Rationale: Restriction or prohibition of family visiting to intensive care units (ICU) during the COVID-19 pandemic poses substantial barriers to communication, and family-and patientcentred care. Objectives: Our objective was to understand how communication between families, patients and the ICU team was enabled during the pandemic. Secondary objectives were to understand strategies used to facilitate virtual visiting and associated benefits and barriers. Methods: Multi-centre, cross-sectional, self-administered electronic survey sent (June 2020) to all 217 UK hospitals with at least one ICU. Results: Survey response rate was 54%; 117/217 hospitals (182 ICUs). All hospitals imposed visiting restrictions with visits not permitted under any circumstance in 16% of hospitals (28 ICUs); 63% (112 ICUs) permitted family presence at end of life. Responsibility for communicating with families shifted with decreased bedside nurse involvement. A dedicated ICU family liaison team was established in 50% (106 ICUs) of hospitals. All but three hospitals instituted virtual visiting, although there was substantial heterogeneity in the videoconferencing platform used. Unconscious or sedated ICU patients were deemed ineligible for virtual visits in 23% of ICUs. Patients at end of life were deemed ineligible for virtual visits in 7% of ICUs. Commonly reported benefits of virtual visiting were reducing patient psychological distress (78%), improving staff morale (68%) and reorientation of delirious patients (47%). Common barriers to virtual visiting related to insufficient staff time, rapid implementation of videoconferencing technology, and challenges associated with family member ability to use videoconferencing technology or have access to a device.

show abstract

“…In instances where visitor bans are implemented, it is important to consider circumstances that may require exceptions and alternative approaches to supporting families and patients. 80 Exceptions to visitor restrictions may need to be considered under compassionate circumstances, such as near the end-of-life. Identifying ways that spiritual support may be provided for patients and families when requested is also important; one hospital in the United States describes facilitating “visits” during which spiritual leaders or clergy may pray outside of patient rooms or with family members.…”

Section: Questionsmentioning

confidence: 99%

Pragmatic Recommendations for Infection Prevention and Control Practices for Healthcare Facilities in Low- and Middle-Income Countries during the COVID-19 Pandemic

Cobb

Papali

Pisani³

et al. 2021

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Infection prevention and control (IPC) strategies are key in preventing nosocomial transmission of COVID-19. Several commonly used IPC practices are resource-intensive and may be challenging to implement in resource-constrained settings. An international group of healthcare professionals from or with experience in low- and middle-income countries (LMICs) searched the literature for relevant evidence. We report on a set of pragmatic recommendations for hospital-based IPC practices in resource-constrained settings of LMICs. For cases of confirmed or suspected COVID-19, we suggest that patients be placed in a single isolation room, whenever possible. When single isolation rooms are unavailable or limited, we recommend cohorting patients with COVID-19 on dedicated wards or in dedicated hospitals. We also recommend that cases of suspected COVID-19 be cohorted separately from those with confirmed disease, whenever possible, to minimize the risk of patient-to-patient transmission in settings where confirmatory testing may be limited. We suggest that healthcare workers be designated to care exclusively for patients with COVID-19, whenever possible, as another approach to minimize nosocomial spread. This approach may also be beneficial in conserving limited supplies of reusable personal protective equipment (PPE). We recommend that visitors be restricted for patients with COVID-19. In settings where family members or visitors are necessary for caregiving, we recommend that the appropriate PPE be used by visitors. We also recommend that education regarding hand hygiene and donning/doffing procedures for PPE be provided. Last, we suggest that all visitors be screened for symptoms before visitation and that visitor logs be maintained.

show abstract

Untitled

Cited by 36 publications

References 0 publications

Evaluating Pediatric Families’ Understanding of and Reactions to COVID-19 Visitor Restrictions

Evaluating Pediatric Families’ Understanding of and Reactions to COVID-19 Visitor Restrictions

Communication and Virtual Visiting for Families of Patients in Intensive Care during the COVID-19 Pandemic: A UK National Survey

Pragmatic Recommendations for Infection Prevention and Control Practices for Healthcare Facilities in Low- and Middle-Income Countries during the COVID-19 Pandemic

Contact Info

Product

Resources

About