Traditional/restrictive vs patient-centered intensive care unit visitation

Perceptions of patients' family members, physicians, and nurses

Bettina H. Riley, Joseph White, Shannon Graham, Anne Alexandrov

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background Patient-centered intensive care units (ICUs) are advocated by professional organizations for critical care nursing and medicine. The patient-centered ICU paradigm recognizes the patient-family unit as inseparable and supports visitation designed to meet the needs of patients and patients' families. Objectives To understand perceptions about patient-centered ICUs among patients' family members, physicians, and nurses from 5 ICUs that had restrictive visitation and to guide development of a patient-centered, open visitation paradigm. Methods Patients' family members, nurses, and physicians from 5 ICUs with a traditional/restrictive visitation policy at a southeastern academic, tertiary care hospital were invited toparticipate in focus group meetings to understand perceptions about patient-centered care. All qualitative work was taped, transcribed, reviewed, and corrected after each session. Corrected transcripts and observer notes were integrated and coded. Results Patients' families identified facilitators of patientcenteredness as nurses' and physicians' communication, concern, compassion, closeness, and flexibility. However, competing roles of control over the patient's health care served as barriers to a patient-centered paradigm. Conclusions Patient-centered care is an expectation among patients, patients' families, and health quality advocates. These exploratory methods increased understanding of the powerful perceptions of family members, physicians, and nurses involved with patient care and provided direction to plan interven tions to implement patient-centered, family-supportive ICU services. (American Journal of Critical Care. 2014;23:316-324).

Original languageEnglish (US)
Pages (from-to)316-324
Number of pages9
JournalAmerican Journal of Critical Care
Volume23
Issue number4
DOIs
StatePublished - Jan 1 2014

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Patient-Centered Care
Family Physicians
Intensive Care Units
Nurses
Patient Care
Critical Care Nursing
Group Processes
Family Health
Tertiary Healthcare
Critical Care
Focus Groups
Tertiary Care Centers
Communication
Medicine

All Science Journal Classification (ASJC) codes

  • Critical Care

Cite this

Traditional/restrictive vs patient-centered intensive care unit visitation : Perceptions of patients' family members, physicians, and nurses. / Riley, Bettina H.; White, Joseph; Graham, Shannon; Alexandrov, Anne.

In: American Journal of Critical Care, Vol. 23, No. 4, 01.01.2014, p. 316-324.

Research output: Contribution to journalArticle

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