A study on nurses’ viewpoint about methods of free visit in intensive care units in Besat hospital affiliated to Kurdistan University of Medical Sciences, Iran, 2015-2016
DOI:
https://doi.org/10.22122/cdj.v7i3.454Keywords:
Viewpoint, Intensive Care Units, NursesAbstract
BACKGROUND: In spite of the evidence of advantages of visitation, the ban on visit in Iran's intensive care units (ICUs) is still underway, and this issue is always a challenging topic that encounters different behaviors in dealing with the phenomenon of visiting. The purpose of this study was to investigate the barriers and strategies for establishing a free visit system in ICUs from the viewpoints of health care providers.
METHODS: In this descriptive study, 100 nurses working in ICU were evaluated. The data were collected using a demographic information registration form and a questionnaire on attitudes and views about visit in special units which were analyzed by SPSS software using t-test and chi-square test.
RESULTS: 33.3% of cases were men and 66.7% of them were women. Most of the cases (67.9%) were married. The shortest work experience in the ICU was 5 months and the longest was 132 months. The average work experience of the cases in the ICU was 60 months.
CONCLUSION: The majority of nurses believe that free visit can interfere with nursing cares. This interference involves direct intervention, more time spent explaining to the patient's family, and creating a busy environment that is the cause of the errors. The time of the visit is largely regulated by healthcare providers, their attitudes towards the topic, as well as their concerns about this issue.
References
Spreen AE, Schuurmans MJ. Visiting policies in the adult intensive care units: A complete survey of Dutch ICUs. Intensive Crit Care Nurs 2011; 27(1): 27-30.
Haghbin S, Tayebi Z, Abbasian A, Haghbin H. Visiting hour policies in intensive care units, southern Iran. Iran Red Crescent Med J 2011; 13(9): 684-6.
Berwick DM, Kotagal M. Restricted visiting hours in ICUs: Time to change. JAMA 2004; 292(6): 736-7.
Khaleghparast S, Joolaee S, Ghanbari B, Maleki M, Peyrovi H, Bahrani N. A review of visiting policies in intensive care units. Glob J Health Sci 2015; 8(6): 267-76.
Khaleghparast S, Joolaee S, Maleki M, Peyrovi H, Ghanbari B, Bahrani N. Visiting hour's policies in intensive care units: Exploring participants' views. Int J Med Res Health Sci 2016; 5(5S): 322-8.
Marco L, Bermejillo I, Garayalde N, Sarrate I, Margall MA, Asiain MC. Intensive care nurses' beliefs and attitudes towards the effect of open visiting on patients, family and nurses. Nurs Crit Care 2006; 11(1): 33-41.
Bray K, Hill K, Robson W, Leaver G, Walker N, O'Leary M, et al. British Association of Critical Care Nurses position statement on the use of restraint in adult critical care units. Nurs Crit Care 2004; 9(5): 199-212.
Cook D. Open visiting: does this benefit adult patients in intensive care units? [PhD Thesis]. Dunedin, New Zealand: Otago Polytechnic; 2006.
Shojaeimotlagh V. Barriers of open visiting in intensive care units from the viewpoint of health care givers in hospitals of Urmia University of Medical Science [MSc Thesis]. Urmia, Iran: Urmia University of Medical Science 2010.[In Persian].
Berti D, Ferdinande P, Moons P. Beliefs and attitudes of intensive care nurses toward visits and open visiting policy. Intensive Care Med 2007; 33(6): 1060-5.
Tayebi Z, Borimnejad L, Dehghan-Nayeri N, Kohan M. Rationales of restricted visiting hour in Iranian
intensive care units: A qualitative study. Nurs Crit Care 2014; 19(3): 117-25.
Noordermeer K, Rijpstra TA, Newhall D, Pelle AJ, van der Meer NJ. Visiting policies in the adult intensive care units in the Netherlands: Survey among ICU directors. ISRN Critical Care 2013; 2013: 137045.
Fumagalli S, Boncinelli L, Lo Nostro A, Valoti P, Baldereschi G, Di Bari M, et al. Reduced cardiocirculatory complications with unrestrictive visiting policy in an intensive care unit: Results from a pilot, randomized trial. Circulation 2006; 113(7): 946-52.
Malacarne P, Corini M, Petri D. Health care-associated infections and visiting policy in an intensive care unit. Am J Infect Control 2011; 39(10): 898-900.
Chiang VC. Surviving a critical illness through mutually being there with each other: A grounded theory study. Intensive Crit Care Nurs 2011; 27(6): 317-30.
Bahrami H. The effect of education to visitors on anxiety and physiological indicators in Coronary Care Unit patients [MSc Thesis]. Tehran, Iran: Tehran Universiaty of Medical Sciencesl; 2014.
[In Persian].
Kamrani F, Seyedjavadi M, Abedsaeedi Z, Ezzati Z, Alavimajd H, Hosseinian E. Physiologic indices of patients before, during and after visit in coronary care unit at Imam Khomeini hospital in Ardebil. J Nurs Midwifery Shahid Beheshti Univ Med Sci 2011; 20(70): 18-22. [In Persian].
Rahmani R, Ahmadian Yazdi R, Motahedian E, Rahimi A. To assess the effect of planed meeting on the physiologic indicators of the patients who suffer from acute coronary syndrome. Iran J Crit Care Nurs 2013; 6(1): 57-64. [In Persian].
Salavati M, Najafvandzadeh M, Oshvandi K, Homayonfar S. The effects of programmed visiting on physiological indexes in CCU patients. Avicenna J Nurs Midwifery Care 2012; 20(3): 43-53.
Farrell ME, Joseph DH, Schwartz-Barcott D. Visiting hours in the ICU: Finding the balance among patient, visitor and staff needs. Nurs Forum 2005; 40(1):
-28.
