ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2022
Evidence-informed consensus statements to guide COVID-19 patient visitation policies: results from a national stakeholder meeting.
Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Perceptions and Experiences of Stakeholders on In-Person and Virtual Visitation in Intensive Care Units: A Qualitative Study Protocol in China.Health science reports · 2026Article
- Psychological impact and intervention strategies for unaccompanied patients in pediatric intensive care units: a narrative review.Translational pediatrics · 2026Review
- Impact of Visitor Restrictions on Patient and Family Perceptions of Care in Canadian ICUs During the COVID-19 Pandemic: A Qualitative Descriptive Study.Journal of patient experience · 2026Article
- Examining self-described policy-relevant evidence base for policymaking: an evidence map of COVID-19 literature.BMJ public health · 2024Article
- The effects of visitor restrictions on inpatients and family visitors during the COVID-19 pandemic: insights from a cross-sectional survey in China.BMC public health · 2024Article
- Impact of COVID-19-related restricted family presence policies on Canadian pediatric intensive care unit clinicians: a qualitative study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Article
- Variation in communication and family visiting policies in intensive care within and between countries during the Covid-19 pandemic: The COVISIT international survey.Journal of critical care · 2022Article
- Implementation of video-calls between patients admitted to intensive care unit during the COVID-19 pandemic and their families: a pilot study of psychological effects.Journal of anesthesia, analgesia and critical care · 2022Article
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Authors and funding
24 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHospital policies forbidding or limiting families from visiting relatives on the intensive care unit (ICU) has affected patients, families, healthcare professionals, and patient- and family-centered care (PFCC). We sought to refine evidence-informed consensus statements to guide the creation of ICU visitation policies during the current COVID-19 pandemic and future pandemics and to identify barriers and facilitators to their implementation and sustained uptake in Canadian ICUs.
methodsWe created consensus statements from 36 evidence-informed experiences (i.e., impacts on patients, families, healthcare professionals, and PFCC) and 63 evidence-informed strategies (i.e., ways to improve restricted visitation) identified during a modified Delphi process (described elsewhere). Over two half-day virtual meetings on 7 and 8 April 2021, 45 stakeholders (patients, families, researchers, clinicians, decision-makers) discussed and refined these consensus statements. Through qualitative descriptive content analysis, we evaluated the following points for 99 consensus statements: 1) their importance for improving restricted visitation policies; 2) suggested modifications to make them more applicable; and 3) facilitators and barriers to implementing these statements when creating ICU visitation policies.
resultsThrough discussion, participants identified three areas for improvement: 1) clarity, 2) accessibility, and 3) feasibility. Stakeholders identified several implementation facilitators (clear, flexible, succinct, and prioritized statements available in multiple modes), barriers (perceived lack of flexibility, lack of partnership between government and hospital, change fatigue), and ways to measure and monitor their use (e.g., family satisfaction, qualitative interviews).
conclusionsExisting guidance on policies that disallowed or restricted visitation in intensive care units were confusing, hard to operationalize, and often lacked supporting evidence. Prioritized, succinct, and clear consensus statements allowing for local adaptability are necessary to guide the creation of ICU visitation policies and to optimize PFCC.
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