Visiting times

Ismail, Sadia; Mulley, Graham

doi:10.1136/bmj.39420.392373.be

Cited by 8 publications

(6 citation statements)

References 12 publications

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“…The debate concerning the care for children continued for four decades, first in medical journals and later also in public media (14). The reasons for limitations were primarily based on the fear of epidemics of infections (16), cross-infections (17), unsanitary homes and parents were thought to unsettle their children by visiting them (18).…”

Section: Restricted Visitationmentioning

confidence: 99%

Family presence during paediatric resuscitation and invasive procedures: the parental experience: An integrative review

Mark

2020

Scandinavian Caring Sciences

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Family presence during paediatric resuscitation and invasive procedures: the parental experience: An integrative review Background: The evolvement of family-centred care has been an ongoing process since the Platt Report 1959. Family-centred care has become the modern working model in paediatrics and obstetrics. Parental participation is central to family-centred care. Whether it is applied consistently remains to be concluded. Aim: The aim of the study was to describe the family experiences of being present during paediatric resuscitation and invasive procedures. Method: The design used in this study is an integrative review by Whittemore & Knafl. Databases PubMed and CINAHL were searched for primary research concerning the parental experiences of participating in paediatric resuscitation and invasive procedures. Eighteen studies were included in the study. A quality assessment tool was applied. Findings: A pro-parental presence was the results of 17 of the 18 included studies. Six common themes were found: 'Being there', 'Calming child', 'Calming parent', 'Having the right', 'Do it again' and 'Seeing is believing'. Conclusion: Including family in resuscitation and invasive procedures requires openness as a working model and demands organisational changes and the updating of guidelines. The inseparability of parent-child is attachment theory practised, an innate quality of being a child as well as a parent. Recommendations are to have a facilitator present during resuscitation and invasive procedures to alleviate stress on everyone's part, enabling family participation.

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Section: Restricted Visitationmentioning

confidence: 99%

Family presence during paediatric resuscitation and invasive procedures: the parental experience: An integrative review

Mark

2020

Scandinavian Caring Sciences

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“…Historically, in adult hospital settings visiting hours have been restricted to set times [1]. This was thought to be effective in protecting patients' quiet times and to allow nurses and other health care professionals (HCPs) time to carry out duties and provide care [2].…”

Section: Introductionmentioning

confidence: 99%

“…Open visiting refers to the principle that visiting hours are not restricted in the hospital setting and relatives and carers can visit at any time. Despite unrestricted visiting being introduced in paediatric settings to improve the wellbeing and health of children [1], these values have not been transferred to adult settings.…”

Section: Introductionmentioning

confidence: 99%

A realist evaluation of the implementation of open visiting in an acute care setting for older people

Hurst

Griffiths

Hunt

2019

BMC Health Serv Res

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Background: Open visiting refers to the principle of unrestricted visiting hours in the hospital setting to enable relatives, families and carers to visit at any time. There has been recognition that open visiting supports the principle of patient and family supported care and improves communication. Despite this there has been difficulty in implementing open visiting and barriers identified. The aims of this study were therefore to evaluate the implementation of open visiting, the barriers to implementation, sustainability and the impact of open visiting on communication between health care professionals, families and carers. Methods: The study was conducted on two large acute wards for the older person. Realist evaluation methods were used to understand 'what works well, how, for whom and to what extent.' Mixed methods were employed including qualitative interviews and descriptive analyses of routine data sets. Following the methodology of realist evaluation, programme theories were identified a long with the context, mechanisms and outcomes of implementation, to better understand the implementation process. Results: The results of this study identified some key findings, demonstrating that open visiting does improve communication and can help to build trusting relationships between families/carers and health care professionals (HCP). Barriers to implementation were based on the belief that it would impinge on routines within the ward setting. To achieve the principles of patient and family/carer centred care, the key mechanisms are the confidence and skills of individual nurses and health care assistants to engage with relatives/carers, whilst retaining a sense of control, particularly when care is being delivered to other patients. Conclusion: In summary, open visiting creates a positive culture which fosters better relationships between families/carers and HCPs. Involving families/carers as partners in care does not happen automatically in an environment where open visiting is the policy, but requires engagement with staff to encourage and support relatives/carers.

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“…Restricted visiting hours dates back to the late 1800s and for a variety of reasons including creating more discipline in the wards and avoiding the transmission of infection. [ 8 ][ 9 ] Berti et al revealed that the influential environmental and organizational factors in this respect include the limitation of ICU space, providing more time to patients’ rest,[ 10 ] insufficient nurse to bed ratio, avoiding interruption of nursing care and reducing the tension between the staff and families. Also, researchers in the field unanimously agree that the attitudes of the ICU staff is the most important factor that can facilitate the path towards unrestricted visiting policy and a commitment to removing all barriers.…”

mentioning

confidence: 99%