Research has shown that unrestricted visitation is beneficial and contributes to high-quality family-centered care. However, with the onset of the COVID-19 pandemic most hospitals banned visitors. In the ensuing time, despite repeated evidence of the negative effects of restricted visitation on patients, caregivers, and families, many hospitals continue to enforce a restrictive policy.Marmo and colleagues examined current visitation policies of Magnet and Pathway to Excellence facilities that had unrestricted visitation policies in their adult intensive care units before the pandemic. They found that All participating nurse leaders thought that the decision to restrict during the pandemic was made by external systems with no input from nursing.None of the hospitals went back to an open visitation policy, and most study participants thought that open visitation polices would not return.Nurse leaders described restricted visitation causing harm to patients, families, and nurses.Although technology capabilities such as virtual visiting allowed family participation, these methods added further responsibility and strain to the nursing staff. The authors recommend that hospitals use the best evidence available and shared decision-making with all key stakeholders to develop safe visitation policies and practices.See Article, pp 31-41Infants with critical congenital heart disease (CCHD) often require complex medical care at home following surgery. The caregivers of these infants must learn a great deal of medical skills through extensive training, often in a short period. Many caregivers experience stress and feel unprepared for postdischarge parental care.Shackleford and colleagues describe nurses’ perceptions of a 24-hour rooming-in program for caregivers of infants with CCHD. They identified 3 themes: This study was the first to examine rooming-in with caregivers of patients with CCHD. Although areas of improvement were recognized, findings suggest that a rooming-in program for CCHD infant care can effectively support the quality of discharge education.See Article, pp 54-61Psychological distress of family caregivers of critically ill patients can result in post–intensive care syndrome– family after hospitalization. This distress also occurs during hospitalization and may include anxiety, lack of sleep, and decrease in sound decision-making. However, little research has explored the factors that affect caregiver stress during the hospitalization.Blok and colleagues interviewed adult family caregivers (most were adult children and patient spouses) in person in the intensive care unit to explore their sources of psychological distress. They found Overall, findings show that factors influencing family distress are wide-ranging and vary by level of caregiver anxiety. The authors suggest early identification and assessment of family factors to develop strategies for reducing distress.See Article, pp 21-30Delirium during hospitalization in the intensive care unit (ICU) contributes to adverse consequences such as prolonged hospital stay, increased hospitalization cost, and increased mortality risk. As several risk factors contribute to onset of delirium, prediction models have been developed. However, some models are more thoroughly validated than others, and the effect of mechanical ventilation on one of the models’ prognostic accuracy needs further study.Van Nieuw Amerongen and colleagues compared 3 prediction models—the PRE-DELIRIC, E-PRE-DELIRIC, and Lanzhou models—in adult ICU patients receiving and not receiving mechanical ventilation. They found Although there are limitations with any model, the findings support the use of a prognostic tool during the first 24 hours of ICU stay to support decision-making in delirium care.See Article, pp 43-50
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Jun 30, 2024
S.N Vidhyarthini + 1
Open Access