scholarly journals Family members' beliefs and attitudes towards visiting policy in the intensive care units of Ghana

Nursing Open ◽  
2019 ◽  
Vol 6 (2) ◽  
pp. 526-534 ◽  
Author(s):  
Yakubu H. Yakubu ◽  
Maryam Esmaeili ◽  
Elham Navab
2018 ◽  
Vol 6 (4) ◽  
pp. 25 ◽  
Author(s):  
Yakubu H. Yakubu ◽  
Maryam Esmaeilie ◽  
Elham Navab

Background: Research and evidence supporting open and liberalized visiting policy has resulted in many hospitals adopting these policies. But, ICU nurses’ beliefs and attitudes about flexible and open visiting policy vary. Hence open visitation has not always been implemented by nurses who are the ward owners. It is vital to evaluate nurses’ beliefs about and attitudes towards visiting policy. Methods: A descriptive, cross-sectional quantitative survey was conducted in 4 public hospitals in Ghana, with a sample of 140 nurses. Data were collected with a validated scale – BAVIQ to assess the nurses’ beliefs and attitudes toward visitation. Results: Generally, nurses’ preferred restricted visiting policy based on their attitudes however, the beliefs of nurses about visiting policy were skeptical (neither agree nor disagree). The study also showed a meaningful relationship between nurses’ beliefs and their sex (p=0.02), experience (p= 0.00), educational level (p= 0.00), employment status (p=0.00) and executive position (p=0.00). It also indicated a meaningful relationship between nurses’ attitudes and their sex (p=0.00), experience (p=0.00), educational level (p=0.00), and executive position (p=0.00). Chi - square was used to compute the test. Conclusions: Based on the findings, ICU nurses’ beliefs and attitudes toward visitation support the universal concern of restricted visiting policy in Ghana. These are important factors in the implementation of flexible visiting policy in the intensive care units; the beneficial effects of open visiting policy for the nurse, the patient and the family because it enhances patient centered care and optimal health. Therefore the need for drafting a protocol and guidelines for intensive care units visiting policy in Ghana is recommended. A qualitative research in specific areas of visiting policy is recommended.


2018 ◽  
Vol 42 (6) ◽  
pp. 337-345
Author(s):  
J.M. Velasco Bueno ◽  
A. Alonso-Ovies ◽  
G. Heras La Calle ◽  
C. Zaforteza Lallemand

2019 ◽  
Vol 28 (4) ◽  
pp. 274-280 ◽  
Author(s):  
Freda DeKeyser Ganz ◽  
Gilat Yihye ◽  
Nicole Beckman

Background Intensive care unit stays can be stressful for patients’ family members. Family-centered communication has 6 components: fostering relationships, exchanging information, responding to emotions, managing uncertainty, making decisions, and enabling patient self-management. Whether these communication components decrease family members’ stress is unknown. Objective To describe levels of family-centered communication and associations with acute stress while patients are in the intensive care unit. Methods A convenience sample of 130 family members of patients in 2 intensive care units in a Jerusalem, Israel, tertiary medical center received a family-centered communication questionnaire, the Perceived Stress Scale, and a personal characteristics questionnaire. Results Most respondents were women (n = 79, 60.8%), children of the patient (n = 67, 51.9%), and familiar with the patient’s diagnosis (n = 111, 85.4%). Mean (SD) participant age was 45.7 (13.6) years. Most considered the patient medically stable (n = 75, 57.7%). Mean (SD) intensive care unit stay was 7.45 (5.8) days. Mean (SD) total and item scores for family-centered communication were 98.75 (18.21) and 3.80 (0.70), respectively; for the Perceived Stress Scale, 19.63 (5.92) and 1.96 (0.59), respectively. Relationship building (r = −0.31, P = .002), participation in care management (r = −0.32, P = .001), and emotional support (r = −0.29, P = .003), and were significantly related to stress. Conclusions Stress levels were mild to moderate and communication scores were moderate to high. Better nurse communication with family members was associated with decreased acute stress, irrespective of personal characteristics or perceptions of the patient’s medical status.


2019 ◽  
Vol 33 (3) ◽  
pp. 569-581 ◽  
Author(s):  
Masoomeh Imanipour ◽  
Frank Kiwanuka ◽  
Sanaz Akhavan Rad ◽  
Ronald Masaba ◽  
Yisak Hagos Alemayehu

2015 ◽  
Vol 20 (5) ◽  
pp. 401-422 ◽  
Author(s):  
Razieh Bandari ◽  
Majideh Heravi-Karimooi ◽  
Nahid Rejeh ◽  
Majid Mirmohammadkhani ◽  
Mojtaba Vaismoradi ◽  
...  

2017 ◽  
Vol 35 (1) ◽  
pp. 82-90 ◽  
Author(s):  
Joyce Nga Hei Lam ◽  
Vincent I. Lau ◽  
Fran A. Priestap ◽  
John Basmaji ◽  
Ian M. Ball

Background: In the new era of decreasing hospital bed availability, there is an increasing rate of direct discharge to home (DDH) from intensive care units (ICUs), despite sparse literature informing this practice. Objectives: To evaluate patient, family, and ICU attending physician satisfaction with planning for DDH from the ICU and intensivists’ current DDH practices and perceptions. Methods: Prospective cohort study, using convenience sampling, of adult patients undergoing DDH from an ICU between February 2016 and February 2017 using a modified FS-ICU 24 satisfaction survey completed by patients, family members, and attending physicians at the time of patient discharge to home from the ICU. Results: Seventy-two percent of patients, 37% of family members, and 100% of ICU physicians recruited completed the survey. A majority of patients (89%) and families (78%) were satisfied or very satisfied with DDH. Only 6% of patients and 8% of families were dissatisfied to very dissatisfied with DDH. Conversely, ICU physician satisfaction varied, with only 5% being very comfortable with DDH and the majority (50%) only somewhat comfortable. Twenty percent of staff consultants were uncomfortable to very uncomfortable with the practice of DDH. Thirty-one percent of staff physician respondents felt that patient and family discomfort would be barriers to DDH. Compared to physicians and other allied health professionals, nurses were identified as the most helpful members of the health-care team in preparation for DDH by 98% of patients and 92% of family members. The DDH rates have increased for the past 12 years in our ICUs but declined during the study period (February 2016 to February 2017). Conclusions: Patients and family members are satisfied with the practice of DDH from ICU, although ICU physician satisfaction is more variable. Physician comfort may be improved by data informing which patients may be safely DDH from the ICU.


2003 ◽  
Vol 17 (2) ◽  
pp. 185-192 ◽  
Author(s):  
Ing-Mari Söderström ◽  
Eva Benzein ◽  
Britt-Inger Saveman

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