ArticleIntensive care medicine2013
Partial liberalization of visiting policies and ICU staff: a before-and-after study.
Article in Intensive care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 85 citations in OpenAlex.
- High-level burnout in physicians and nurses working in adult ICUs: a systematic review and meta-analysis.Intensive care medicine · 2023Pooled it
- The burden of the digital environment: a systematic review on organization-directed workplace interventions to mitigate physician burnout.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Prevalence of burnout among intensive care physicians: a systematic review.Revista Brasileira de terapia intensivaPooled it
- Trial
- Surrogate resilience and clinical titration of presence in the open intensive care unit: a systematic narrative synthesis.International journal of nursing studies advances · 2026Review
- The second brain in the line of fire: addressing surrogate cognitive dysautoregulation.Intensive care medicine · 2026Article
- Care Beyond Cure: Humanizing the Intensive Care Unit Journey.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- Healthcare Provider's Preferences on Open Versus Restricted Visiting Hours in Surgical Intensive Care Unit.Cureus · 2024Article
- The effect of visitation restrictions on ED error.Internal and emergency medicine · 2024Article
- Understanding patient and family experiences of critical care in Bangladesh and India: What are the priority actions to promote person-centred care?PLOS global public health · 2024Article
- Perceptions and preferences about family visitation restrictions and psychological distress among critical care clinicians in Brazil: results from a national survey.Critical care science · 2024Article
- Humanizing the intensive care unit experience in a comprehensive cancer center: A patient- and family-centered improvement study.Palliative & supportive care · 2022Article
- Patient-Centered and Family-Centered Care in the Intensive Care Unit.Clinics in chest medicine · 2022Review
- Communication and visiting policies in Italian intensive care units during the first COVID-19 pandemic wave and lockdown: a nationwide survey.BMC anesthesiology · 2022Article
- The Psychological Impact on Relatives of Critically Ill Patients: The Influence of Visiting Hours.Critical care explorations · 2022Article
- Comparison between the perceptions of family members and health professionals regarding a flexible visitation model in an adult intensive care unit: a cross-sectional study.Revista Brasileira de terapia intensiva · 2022Article
- Burnout and Associated Factors among Hospital-Based Nurses in Northern Uganda: A Cross-Sectional Survey.BioMed research international · 2022Article
- Prevalence and predictors of burnout among nurses during COVID-19: a cross-sectional study in hospitals in central Uganda.BMJ open · 2021Article
- Why and how to open intensive care units to family visits during the pandemic.Critical care (London, England) · 2021Article
- Continuous Family Access to the Intensive Care Unit: A Mixed Method Exploratory Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate possible psychological distress among staff after partial liberalization of visiting policies in intensive care units (ICUs).
methodsWe surveyed eight Italian ICUs planning to increase daily visiting to at least 8 h. Participants completed the Maslach-Jackson Burnout Inventory and the State-Trait Anxiety Inventory before policy change (T0), after 6 months (T1) and 12 months (T2). At T0 and T2, their opinions on the new policy were solicited. Analyses were adjusted for main known confounders (age, gender, centre, educational and marital status, experience in ICU, baseline level of burnout or anxiety, and mortality rate).
resultsBaseline response rate was 89 % (230/258); 198 subjects (77 %) responded at T0 and T2, whereas 184 (71 %) participated in all three phases. High burnout levels were identified in 34.5 % of participants at T0 and 42.6 % at T2 (adjusted p = 0.001). All three phases showed a predominance of high burnout among nurses (adjusted p = 0.002). State and trait anxiety scores remained stable (adjusted p = 0.100 and 0.288, respectively). Most participants viewed the change positively at T0 (doctors 81.7 %; nurses 67.7 %) and T2 (doctors 87.0 %; nurses 62.7 %). At T2, 129 participants made comments (180 positive, 136 negative). Subjects with high burnout were more likely to comment negatively (p = 0.011).
conclusionsPartial liberalization of ICU visiting policies was associated over the course of a year with a small but significant increase in staff members' burnout levels. Nonetheless, doctors and nurses viewed the policy positively, maintaining this opinion after 1 year. Negative views were strongly correlated with burnout.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.