No Visitors

Abstract

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.

Family Members' Engagement in Symptom Communication, Assessment, and Management in the Intensive Care Unit

“…The consequences of these restrictions are still unknown 9 . Findings from studies conducted during the pandemic suggest that the restricted visitation policies had a negative impact on patients, family, and clinicians 10,11 . Knowledge gained from the pandemic indicates that the value of family presence and engagement in the ICU should be studied further.…”