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Conditions and strategies to meet the challenges imposed by the COVID-19-related visiting restrictions in the ICU: a Scandinavian cross-sectional study

Permanent lenke
https://hdl.handle.net/10037/23203
DOI
https://doi.org/10.1016/j.iccn.2021.103116
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article.pdf (307.7Kb)
Publisert versjon (PDF)
Dato
2021-07-26
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
Jensen, Hanne Irene; Ågård, Anne Sophie; Åkerman, Eva; Lind, Ranveig; Alfheim, Hanne Birgit; Fridh, Isabell
Sammendrag
Objectives - To examine conditions and strategies to meet the challenges imposed by the coronavirus disease 2019 (COVID-19)-related visiting restrictions in Scandinavian intensive care units.

Research methodology/design - A cross-sectional survey.

Setting - Adult intensive care units in Denmark, Norway and Sweden.

Main outcome measures - Likert scale responses and free-text comments within six areas: capacity and staffing, visiting policies and access to the unit, information and conferences with relatives, written information, children as relatives and follow-up initiatives.

Results - The overall response rate was 53% (74/140 participating units). All intensive care units had planned for capacity extensions; the majority ranging between 11 and 30 extra beds. From March–June 2020, units had a mean maximum of 9.4 COVID-19 patients simultaneously. Allowing restricted visiting was more common in Denmark (52%) and Norway (61%) than in Sweden where visiting was mostly denied except for dying patients (68%), due to a particular increased number of COVID-19 patients. The restrictions forced nurses to compromise on their usual standards of family care. Numerous models for maintaining contact between relatives and patients were described.

Conclusion - Visitation restrictions compromised the quality of family care and entailed dilemmas for healthcare professionals but also spurred initiatives to developing new ways of providing family care.

Forlag
Elsevier
Sitering
Jensen, Ågård, Åkerman, Lind, Alfheim, Fridh. Conditions and strategies to meet the challenges imposed by the COVID-19-related visiting restrictions in the ICU: a Scandinavian cross-sectional study. Intensive & Critical Care Nursing. 2021
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  • Artikler, rapporter og annet (helse- og omsorgsfag) [842]
Copyright 2021 The Author(s)

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