ArticleCritical care (London, England)2013
Visitation policies and practices in US ICUs.
Article in Critical care (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Trial
- Mental Health Needs of Families of Patients in Intensive Care Units and the Role of Mobile Health: Survey Study.JMIR formative research · 2026Article
- Investigating the Feasibility, Usability, and Efficacy of a Mobile App to Reduce Anxiety and Depression in Families of Critical Care Cancer Patients: A Quasi-Experimental Pilot Study.Healthcare (Basel, Switzerland) · 2026Article
- Healthcare Provider's Preferences on Open Versus Restricted Visiting Hours in Surgical Intensive Care Unit.Cureus · 2024Article
- Assessment of Family Satisfaction with Remote Communication for Critically Ill COVID-19 Patients: An Observational Cohort Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
- Family experiences and perceptions of intensive care unit care and communication during the COVID-19 pandemic.Australian critical care : official journal of the Confederation of Australian Critical Care Nurses · 2023Article
- Indoor COFrontiers in medicine · 2023Article
- Humanizing the intensive care unit experience in a comprehensive cancer center: A patient- and family-centered improvement study.Palliative & supportive care · 2022Article
- Self-Service System for the Family Members of ICU Patients: A Pilot Study.Healthcare (Basel, Switzerland) · 2022Article
- Practice of family-centred care in intensive care units before the COVID-19-pandemic: A cross-sectional analysis in German-speaking countries.Intensive & critical care nursing · 2022Article
- The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial.Perioperative medicine (London, England) · 2021Article
- Family Presence and Visitation Practices in Latin American PICUs: An International Survey.Journal of pediatric intensive care · 2021Article
- A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic.Critical care explorations · 2021Article
- Implementation and sustainment strategies for open visitation in the intensive care unit: A multicentre qualitative study.Intensive & critical care nursing · 2021Article
- Effect of Programmed Family Presence in Coronary Care Units on Patients' and Families' Anxiety.Journal of caring sciences · 2020Article
- Assessment of Variability in End-of-Life Care Delivery in Intensive Care Units in the United States.JAMA network open · 2019Observational
- Communication expectations of critically ill patients and their families.Journal of emergency and critical care medicine (Hong Kong, China) · 2019Article
- Satisfaction of family members of critically ill patients admitted to a public hospital intensive care unit and correlated factors.Revista Brasileira de terapia intensiva · 2019Article
- New perspectives on substituted relational autonomy for shared decision-making in critical care.Critical care (London, England) · 2018Article
- Autonomous detection of disruptions in the intensive care unit using deep mask RCNN.Conference on Computer Vision and Pattern Recognition Workshops. IEEE Computer Society Conference on Computer Vision and Pattern Recognition. Workshops · 2018Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPrior reports suggest that restrictive ICU visitation policies can negatively impact patients and their loved ones. However, visitation practices in US ICUs, and the hospital factors associated with them, are not well described.
methodsA telephone survey was made of ICUs, stratified by US region and hospital type (community, federal, or university), between 2008 and 2009. Hospital characteristics were self-reported and included the hospitals' bed number, critical care unit number, and presence of ICU leadership. Hospital and ICU visitation restrictions were based on five criteria: visiting hours; visit duration; number of visitors; age of visitors; and membership in the patient's immediate family. Hospitals or ICUs without restrictions had open visitation policies; those with any restriction had restrictive policies.
resultsThe study surveyed 606 hospitals in the Northeast (17.0%), Midwest (26.2%), South (36.6%), and West (20.1%) regions; most were community hospitals (n = 401, 66.2%). The mean hospital size was 239 ± 217 beds; the mean percentage of ICU beds was 11.6% ± 13.4%. Hospitals often had restrictive hospital (n = 463, 76.4%) and ICU (n = 543, 89.6%) visitation policies. Many ICUs had ≥ 3 restrictions (n = 375; 61.9%), most commonly related to visiting hours and visitor number or age. Nearly all ICUs allowed visitation exceptions (n = 474; 94.8%). ICUs with open policies were more common in hospitals with < 150 beds. Among restrictive ICUs, the bed size, hospital type, number of critical care units, and ICU leadership were not associated with the number of restrictions. On average, hospitals in the Midwest had the least restrictive policies, while those in the Northeast had the most restrictive.
conclusionIn 2008 the overwhelming majority of US ICUs in this study had restrictive visitation policies. Wide variability in visitation policies suggests that further study into the impact of ICU visitations on care and outcomes remains necessary to standardize practice.
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