The lived experiences of family members who visit their relatives in Covid-19 intensive care unit for the first time: A phenomenological study

Bartoli, Davide; Trotta, F.; Pucciarelli, Gianluca; Simeone, Silvio; Miccolis, Rosa; Cappitella, Carmen; Rotoli, Daniele; Rocco, Monica

doi:10.1016/j.hrtlng.2022.03.012

Cited by 8 publications

(15 citation statements)

References 37 publications

(37 reference statements)

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“…Studies both before and during the COVD-19 restrictions validate these findings ( Bjork et al, 2019 , Cody et al, 2018 , Creutzfeldt et al, 2021 , Klop et al, 2021 ). In-person visits are the most important for our participants, and other studies validate these findings ( Bartoli et al, 2022 ; Rose, Cook, et al, 2022) even though it could be upsetting to see the patient in such a serious state, it also created an increased comprehension of the situation ( Bartoli et al, 2022 ).…”

Section: Discussionsupporting

confidence: 70%

Family member perspectives on intensive care unit in-person visiting restrictions during the COVID-19 pandemic: A qualitative study

Jungestrand¹,

Holm²,

Rose³

et al. 2023

Intensive and Critical Care Nursing

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Section: Discussionsupporting

confidence: 70%

Family member perspectives on intensive care unit in-person visiting restrictions during the COVID-19 pandemic: A qualitative study

Jungestrand¹,

Holm²,

Rose³

et al. 2023

Intensive and Critical Care Nursing

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“…However, we know that family members' presence in the ICU is important, not only for patients' wellbeing but also for reducing family members' distress (Bartoli et al, 2022), and the decision regarding visiting restrictions may have had consequences for some individuals' recovery.…”

Section: Discussionmentioning

confidence: 99%

“…In the best interests of public health, hospital visiting regulations were found to be necessary while knowledge about the disease and how the infection was spread remained limited. However, we know that family members' presence in the ICU is important, not only for patients' wellbeing but also for reducing family members' distress (Bartoli et al, 2022), and the decision regarding visiting restrictions may have had consequences for some individuals' recovery.…”

Section: Discussionmentioning

confidence: 99%

Family members' experiences of COVID‐19 visiting restrictions in the intensive care unit—A qualitative study

Forsberg¹,

Isaksson²,

Schelin³

et al. 2023

Journal of Clinical Nursing

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ObjectiveTo describe how family members of critically ill patients experienced the COVID‐19 visiting restrictions in Sweden.BackgroundIn Sweden, the response to COVID‐19 was less invasive than in many other countries. However, some visiting restrictions were introduced for intensive care units, with local variations. Although there is a growing body of literature regarding healthcare professionals' and family caregivers' perspectives on visiting restriction policies, there may be inter‐country differences, which remain to be elucidated.DesignThis study has a qualitative descriptive design. Focus group interviews with 14 family members of patients treated for severe COVID‐19 infection were conducted. The interviews took place via digital meetings during the months after the patients' hospital discharge. Qualitative content analysis was used to interpret the interview transcripts. Reporting of the study followed the COREQ checklist.ResultsTwo categories—dealing with uncertainty and being involved at a distance—described family members' experiences of coping with visiting restrictions during the COVID‐19 pandemic. These restrictions were found to reduce family members' ability to cope with the situation. Communication via telephone or video calls to maintain contact was appreciated but could not replace the importance of personal contact.ConclusionsFamily members perceived that the visiting restriction routines in place during the COVID‐19 pandemic negatively influenced their ability to cope with the situation and to achieve realistic expectations of the patients' needs when they returned home.Relevance to Clinical PracticeThis study suggests that, during the COVID‐19 pandemic, the visiting restrictions were experienced negatively by family members and specific family‐centred care guidelines need to be developed for use during crises, including the possibility of regular family visits to the ICU.Patient and Public ContributionNone in the conceptualisation or design of the study.

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“…Family members struggled to feel informed about the care they could not witness and had difficulty understanding information. A previous study showed that visits to COVID-19 patients in the ICU reduced anxiety among family members [ 19 ]. Another study showed that the family members of COVID-19 patients experienced mental health symptoms 12 months after ICU admission of their relatives for COVID-19 infection.…”

Section: Discussionmentioning

confidence: 99%

“…Lower education level and family history of psychiatric disorder were risk factors for anxiety, and home isolation was a risk factor for depression [ 15 ]. Aside from patients, there were few studies that showed that family members taking care of COVID-19 patients also experienced mental health impacts, including anxiety and depressive symptoms [ 17 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Distress among Family Members of COVID-19 Patients Admitted to Hospital and Isolation Facilities in the Philippines: A Prospective Cohort Study

Apostol-Nicodemus

Tabios

Limpoco

et al. 2022

JCM

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This study determined the psychosocial impact of COVID-19 on families of adult COVID-19 patients in isolation facilities in Metro Manila, Philippines. This prospective cohort study was conducted in COVID-19 healthcare facilities. Data collection was undertaken 2 weeks and 8 weeks after discharge. Logistic regression was performed to determine the socioeconomic and clinical factors influencing anxiety, depression, and family function. Based on HADS-P, 43.2% of the participants had anxiety symptoms, and 16.2% had depression symptoms 2 weeks after the discharge of their relative with COVID-19 infection. The prevalence of anxiety and depression significantly decreased to 24.3% and 5.4%, respectively, 8 weeks after discharge. The percentage of participants with a perceived moderate family dysfunction was 9.5% in the 2nd week and 6.8% in the 8th week post discharge. Participants with perceived severe family dysfunction increased from none to 4.1%. The most inadequate family resources for the participants were economic, medical, and educational resources. Patient anxiety (p = 0.010) and perceived inadequate family resources (p = 0.032) were associated with anxiety symptoms among family members. Patient anxiety (p = 0.013) and low educational attainment (p = 0.002) were associated with anxiety symptoms among family members 8 weeks after discharge. On the other hand, patient depression (p = 0.013) was a factor related to depressive symptoms among family members 2 weeks after discharge. This study provided an in-depth understanding of the mental health status of family members caring for relatives with COVID-19 infection. This can be used to guide healthcare professionals caring for COVID-19 patients and their family members.

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The lived experiences of family members who visit their relatives in Covid-19 intensive care unit for the first time: A phenomenological study

Cited by 8 publications

References 37 publications

Family member perspectives on intensive care unit in-person visiting restrictions during the COVID-19 pandemic: A qualitative study

Family member perspectives on intensive care unit in-person visiting restrictions during the COVID-19 pandemic: A qualitative study

Family members' experiences of COVID‐19 visiting restrictions in the intensive care unit—A qualitative study

Psychosocial Distress among Family Members of COVID-19 Patients Admitted to Hospital and Isolation Facilities in the Philippines: A Prospective Cohort Study

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