Why extended visits in an adult ICU receive a more positive evaluation from patient relatives than from the health care team?

• Autor(a) principal: Severigni, Claudia Eugênio
• Data de Publicação: 2020
• Outros Autores: Souza, Emiliane Nogueira de
• Tipo de documento: preprint
• Idioma: eng
• Título da fonte: SciELO Preprints
• Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/1106
• topic: Nursing; Intensive care unit; patient-centered care; visitors to patients

Intensive care units (ICUs) have adopted flexible visitation models as a way to favor care focused on the needs of patients and their families. OBJECTIVE: To evaluate an extended visitation model in an adult ICU from the perspective of family members and the health care team. METHODS: Cross-sectional study. This study was carried out with relatives of patients and with the health care team in a general ICU with an extended visitation model, in a hospital in the south of Brazil. The evaluation of the extended visitation policy was carried out using a 22-question survey. RESULTS: The answers of 95 accompanying family members and 95 members of the ICU care team were analyzed. Members of the nursing staff evaluated the changes in attitudes at work as negative (77.9%) , believe that the work gests interrupted (46.3%), and consider that it contributes little to decreasing anxiety and stress in the family. The accompanying family members evaluated the following elements more positively: decreased anxiety and stress in the family (91.6% versus 58.9%;p <0.01); family members get more information (86.3% versus 64.2%; p <0.01). CONCLUSION: Both groups evaluated as positive the majority of the aspects of the extended visitation model. However, the aspects that presented the greatest divergence in the evaluations, with a more negative perception from ICU health care team members, were the interference in their work, changes in attitudes at work, a lower perception of the reduction in anxiety and stress in the family and patients, and discomfort caused by the presence of a relative.