Family perceptions related to isolation during COVID-19 hospitalization

Eden, Candace; Fowler, Susan B.

doi:10.1097/01.nurse.0000757160.34741.37

Cited by 4 publications

(8 citation statements)

References 9 publications

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“…Other studies have reported increased episodes of delirium and increased sedation requirements 8 . Emotional anguish of family members who were not allowed to physically visit their loved ones or received limited information on the patient's status was evident as well 7 . In addition, there are very real questions related to the decision-making capabilities of some patients and just who was making those decisions when family members could not be reached.…”

Section: Implications For Practicementioning

confidence: 99%

“…Although these limitations exist and qualitative studies cannot be generalized to other populations, the results seemed to mirror other studies currently in the literature. 1,2,7…”

Section: Limitationsmentioning

confidence: 99%

“…8 Emotional anguish of family members who were not allowed to physically visit their loved ones or received limited information on the patient's status was evident as well. 7 In addition, there are very real questions related to the decision-making capabilities of some patients and just who was making those decisions when family members could not be reached. This concern was confirmed in a recent study of acute brain injury patients during the pandemic and alluded to in comments by participants in the study reported here.…”

Section: Implications For Practicementioning

confidence: 99%

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No Visitors

Knight,

Robinson,

Stinson

2023

Dimens Crit Care Nurs

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Background/Introduction Restrictions on visitors during the coronavirus disease 2019 (COVID-19) pandemic had major implications for both patients and families, impacting health care outcomes. Policies included mandatory closures, masking, and visiting restrictions both in acute and long-term care. Despite visiting restrictions in health care systems, little is known about its effects. Objectives/Aims The objective of this study was to elicit perceptions of individuals who were separated from their loved ones during acute care hospitalization during the COVID pandemic. Methods Individuals who experienced separation from hospitalized family members because of the “no-visitor policies” during the COVID-19 pandemic were asked to participate in a study to elicit their perceptions. After institutional review board approval, interviews were completed for those who had loved ones admitted to acute care facilities only. Audiotaped and transcribed interviews were conducted in person, via telephone, or virtually using a primary investigator–developed interview guide. Using the Colaizzi method of analysis, themes were derived. Results Of the 11 completed interviews, 100% of participants were female, and all were residents of Texas. Themes derived from this pilot project were advocacy, communication, emotional upheaval, human factors, isolation, and abandonment. Conclusions Findings from patient interviews support previous published studies. Ideas for improved patient and family experience discussed by the authors include personal protective equipment for significant others, consideration of visitation policies for those patients without decision-making capabilities, and increased accessibility to communication aids for both patients and families.

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Section: Implications For Practicementioning

confidence: 99%

“…Although these limitations exist and qualitative studies cannot be generalized to other populations, the results seemed to mirror other studies currently in the literature. 1,2,7…”

Section: Limitationsmentioning

confidence: 99%

Section: Implications For Practicementioning

confidence: 99%

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No Visitors

Knight,

Robinson,

Stinson

2023

Dimens Crit Care Nurs

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“…The COVID-19 pandemic also changed patient discharge planning, undermining usual discharge processes. Before the COVID-19 pandemic, healthcare staff used a discharge procedure designed to sit relatives and the patient together to discuss critical information on the support that would be needed at home (24). This exchange increased the chances of the patient subsequently remaining at home and optimized the discharge process.…”

Section: Introduction -Backgroundmentioning

confidence: 99%

“…This exchange increased the chances of the patient subsequently remaining at home and optimized the discharge process. Under COVID-19 visiting restrictions, these conversations altered dramatically (25) and may have caused problems in the dialogue between healthcare staff and relatives, reducing the possibilities of ensuring consensus-based care and increasing the risks of unplanned hospital readmissions (24,26). To maintain the links between patients, relatives, and healthcare staff, the Valais Hospital offered a variety of digital and technical means to replace physical visits (27,28).…”

Section: Introduction -Backgroundmentioning

confidence: 99%

Relatives' experiences of visiting restrictions during the COVID-19 pandemic’s first wave: a PREMs study

Tacchini-Jacquier

Monnay

Bonvin

et al. 2022

Preprint

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Background: During the COVID-19 pandemic, most countries introduced temporary visiting restrictions on the relatives of acute care hospital patients, whether or not they were infected with SARS-CoV-2. This affected relatives’ psychological and emotional states and how closely they could be involved in their loved one’s hospitalization. Study Aims: Investigate relatives’ experiences of visiting restrictions during the COVID-19 pandemic’s first wave and of the support offered by Valais Hospital’s healthcare staff. Method: Relatives and patients who had been discharged between February 28 and May 13, 2020, were asked to complete a patient-reported experience measures (PREMs) questionnaire, whether or not they had been infected by SARS-CoV-2. Relatives were asked about how visiting restrictions had affected them, their perceptions of the severity of the COVID-19 pandemic, the quality of communication concerning their loved ones’ health status during their hospitalization, and the information received from healthcare staff. Descriptive and inferential statistics were computed. Results: Of 866 PREMs questionnaires returned, 818 were analyzable, and 543 relatives had experienced visiting restrictions to their loved ones: 92 relatives (87%) of COVID-19 patients and 451 relatives (66%) of non-infected patients, with heterogenous effects on their psychological and affective status. Overall, whether or not relatives were subjected to visiting restrictions, they perceived themselves to be well treated, well informed, and that communication with hospital healthcare staff was satisfactory. However, relatives subjected to visiting restrictions reported significantly lower scores on the quality of communication than other relatives. The relatives of patients in gynecology/obstetrics and internal medicine wards were significantly more affected by visiting restrictions than were the relatives of patients in other wards. Numerous relatives subjected to visiting restrictions reported regular communication with their loved ones or with healthcare staff, at least once a day (n = 179), either via videoconferences using FaceTime®, WhatsApp®, Zoom®, or Skype® or via mobile phone text messages. Discussion Visiting restrictions affected relatives differently depending on the wards their loved ones were hospitalized in. Healthcare institutions should investigate the utility of visiting restrictions on patients, how they affect relatives, and how to improve personalized patient–relative communications.

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Relatives’ experiences of visiting restrictions during the COVID-19 pandemic’s first wave: a PREMs study in Valais Hospital, Switzerland

Tacchini-Jacquier,

Monnay,

Bonvin

et al. 2023

BMC Health Serv Res

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Background During the COVID-19 pandemic, most countries introduced temporary visiting restrictions on the relatives of acute care hospital patients, whether or not they were infected with SARS-CoV-2. This affected relatives’ psychological and emotional states and how closely they could be involved in their loved one’s hospitalization. Study aims Investigate relatives’ experiences of visiting restrictions during the COVID-19 pandemic’s first wave and the support offered by Valais Hospital’s healthcare staff. Methods Relatives and patients who had been discharged between February 28 and May 13, 2020, were asked to complete a patient-reported experience measures (PREMs) questionnaire, whether or not they had been infected by SARS-CoV-2. Relatives were asked about how visiting restrictions had affected them, their perceptions of the severity of the COVID-19 pandemic, the quality of communication concerning their loved ones’ health status during their hospitalization, and the information received from healthcare staff. Descriptive and inferential statistics were computed. Results Of 866 PREMs questionnaires returned, 818 were analyzable, and 543 relatives had experienced visiting restrictions to their loved ones: 92 relatives (87%) of COVID-19 patients and 451 relatives (66%) of non-infected patients, with heterogenous effects on their psychological and affective status. Overall, whether or not relatives were subjected to visiting restrictions, they perceived themselves to be well treated, well informed, and that communication with hospital healthcare staff was satisfactory. However, relatives subjected to visiting restrictions reported significantly lower scores on the quality of communication than other relatives. The relatives of patients in gynecology/obstetrics and internal medicine wards were significantly more affected by visiting restrictions than were the relatives of patients in other wards. Numerous relatives subjected to visiting restrictions reported regular communication with their loved ones or with healthcare staff, at least once a day (n = 179), either via videoconferences using FaceTime®, WhatsApp®, Zoom®, or Skype® or via mobile phone text messages. Conclusion Visiting restrictions affected relatives differently depending on the wards their loved ones were hospitalized. Healthcare institutions should investigate the utility of visiting restrictions on patients, how they affect relatives, and how to improve personalized patient–relative communications. Future research should attempt to develop reliable, validated measurement instruments of relatives’ experiences of acute-care visiting restrictions during pandemics.

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Family perceptions related to isolation during COVID-19 hospitalization

Cited by 4 publications

References 9 publications

No Visitors

No Visitors

Relatives' experiences of visiting restrictions during the COVID-19 pandemic’s first wave: a PREMs study

Relatives’ experiences of visiting restrictions during the COVID-19 pandemic’s first wave: a PREMs study in Valais Hospital, Switzerland

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