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The experience of Fumagalli et al.(2006) was similar: when open and flexible visiting hours were permitted, patients and visitors seemed more content (Fumagalli et al., 2006).
ICU staff, on the other hand, insist on maintaining restrictive visiting policies on the grounds that liberal visiting hours may distract caregivers, whilst increasing the patient's stress and risk of septic complications.
The issue remains an agonizing and constantly debated point of contention amongst physicians, nurses, visitors, and patients. Some practitioners insist that the decision to restrict visiting hours is neither caring nor compassionate (Fumagalli et al.,2006). On the other hand, as they themselves say their trial was small and larger randomized trials need to occur before conclusions are drawn. In the meantime, open and flexible visitation hours are constantly demanded, and permission, as constantly, withheld.
References
Berti, P., Ferdinando, D. & Moons, P. (2007). Beliefs and attitudes of intensive care nurses toward visits and open visiting policy Intensive...
& Fesist, J. (207). Health Psychology. Thomson / Wadsworth, USA.
Fumagalli, S. Boncinelli, L., Lo Nostro, P. et al. (2006) Reduced Cardiocirculatory Complications With Unrestrictive Visiting Policy in an Intensive Care Unit
Circulation, 113, 946-952
Maulik, P.K., Eaton, W., & Bradshaw, C.K. (2010) The effect of social networks and social support on common mental disorders following specific life events Acta Psychiatrica Scandinavica. 1600-0447.
Richter, J.C., Waydhus, C., & Pajonk, F. (2006). Incidence of Posttraumatic Stress Disorder After Prolonged Surgical Intensive Care Unit Treatment, Psychosomatics 47, 223-230,
Rutter, M., Moffit, T., & Caspi, A. (2006). Gene-environment interplay and psychopathology: multiple varieties but real effects, Journal of Child Psychology and Psychiatry 47, 226 -- 261
Wikehult, B. Hedlund, D., Marsenic, M., Nymen, S., & Millebrand, M. (2008). Evaluation of negative emotional care experiences in burn care…
References
Berti, P., Ferdinando, D. & Moons, P. (2007). Beliefs and attitudes of intensive care nurses toward visits and open visiting policy Intensive Care Medicine, 33, 1060-1065,
Brannon, L. & Fesist, J. (207). Health Psychology. Thomson / Wadsworth, USA.
Fumagalli, S. Boncinelli, L., Lo Nostro, P. et al. (2006) Reduced Cardiocirculatory Complications With Unrestrictive Visiting Policy in an Intensive Care Unit
Circulation, 113, 946-952
Opening visiting hours in the Intensive Care Unit Harmful or Helpful to the Patient As the healthcare system starts making that move in the direction of a client-driven model, opening visiting hours are becoming a topic of discussion and interest. Studies that go all the way back to the 1970s has produced argument and conjecture over the perfect visiting practices in the adult intensive care unit. This literature explores the
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Many patients reported they prefer children not visit so they could protect or shield children from the crisis associated with the ICU environment. The researchers also identified critical illness as an important source of disruption and stress for family members, and suggested that an open and more flexible policy be adopted regardless. The researchers suggest further studies are necessary to determine collaborative ways nursing staff and caregivers could work with
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Essentially, visitors in this setting were dealt with as they arrive and several different policies were used, depending on the situation. Farell, et. al. also based their visiting policy on the response of the patient. Many reported that when the unit was quiet visitors were usually allowed to stay as long as they liked, and if a patient were dying all rules and regulations were suspended. All nurses agreed
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