The psychological consequences of source isolation: a review of the literature

Abstract

Source isolation can be an extremely frightening and anxiety provoking experience. With the many epidemiological changes that are prevalent in the UK today the need to care for individuals in source isolation is becoming increasingly important to prevent the spread of infection in hospitals. However, the psychological effects of source isolation are not well understood or researched. This review defines and examines the historical developments of source isolation and then discusses related research which suggests possible effects of source isolation on an individual's psychological well-being. Research which has determined the effects of sensory deprivation and social isolation are discussed, together with literature on the intensive care syndrome. This review highlights the lack of research on the psychological effects of source isolation. Furthermore, literature and research on related aspects of isolation suggests very serious effects are noted on the psychological well-being of individuals. Whilst a cessation of source isolation is not an option, urgent research is required to examine what nurse interventions can be implemented to ameliorate these negative effects.

Infection Prevention and Control Guideline for Cystic Fibrosis: 2013 Update

“…489,492,494,495 Children suggested that access to the Internet, mobile phones, and interactive resources and being able to leave their rooms would make isolation more tolerable. 489 Physical facilities can also be altered to decrease the impact of isolation.…”

Risk Perception and Compliance With Quarantine During the SARS Outbreak

“…Recent studies have indicated that quarantine during the SARS outbreak was an emotional and, for some, a financial hardship (Blendon, Benson, DesRoches, Raleigh, & Taylor‐Clark, 2004; Hawryluck et al, 2004). Although some researchers have investigated the psychological consequences of hospital isolation practices (Gammon, 1999; Lesko, Kern, & Hawkins, 1984), little is known about the subjective experience of quarantine, for example, how people manage protocols and the supports or barriers to compliance. We therefore undertook a descriptive, qualitative study to explore the experience of being quarantined, specifically the relationship between perceived risk of contracting SARS and reported compliance with the quarantine order and protocols.…”

When Family-Centered Care Is Challenged by Infectious Disease: Pediatric Health Care Delivery During the SARS Outbreaks

“…Recommendations included parents' rooming in, the provision of play equipment, and the training of health care professionals specifically to educate and support hospitalized children (Bradley, 2001). Taken together, findings from child development research, along with new knowledge regarding how to control the spread of infection, resulted in changes to hospital visiting policies (Alsop-Shields & Mohay, 2001;Gammon, 1999).…”