Evidence map›Paper›PMID 35920080›Full record

ArticleJournal of hospital medicine2022

Patients' and caregivers' experiences of hospitalization under COVID-19 visitation restrictions.

Anny Fenton, Sandra Stevens, Zachary Cost, Jaime Bickford, Michael Kohut, Elizabeth A Jacobs, Rebecca N Hutchinson

Open access · greenAbstract read
In one paragraph

Article in Journal of hospital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Anny FentonDivision of Population Sciences, Dana Farber Cancer Institute, Boston, Massachusetts, USA.ORCID 0000-0002-0710-6719
Sandra StevensMaine Medical Center, Division of Palliative Medicine, Portland, Maine, USA.
Zachary CostTufts University School of Medicine, Boston, Massachusetts, USA.
Jaime BickfordMaine Medical Center, Division of Palliative Medicine, Portland, Maine, USA.
Michael KohutMaineHealth Center for Interdisciplinary Population Health Research, Portland, Maine, USA.
Elizabeth A JacobsTufts University School of Medicine, Boston, Massachusetts, USA.
Rebecca N HutchinsonMaine Medical Center, Division of Palliative Medicine, Portland, Maine, USA.
Tufts University · USMaine Medical Center · USDana-Farber Cancer Institute · USMaineHealth · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, hospitals did not allow caregiver visitation. Little is known about how caregivers' absence affected patients' care.

objectiveThis study aimed to describe visitation restrictions' impact on patients and their caregivers experiences.

designWe used a sequential explanatory mixed-methods study design. First, we randomly selected 200 adult patients with cancer or heart failure hospitalized before (n = 100) and during visitor restrictions (n = 100) and abstracted data from the electronic medical record on communication between medical teams and caregivers and the topics discussed. Results from the quantitative analysis guided our thematic analysis of semi-structured interviews conducted with a subsample of patients hospitalized during visitor restrictions and their caregivers to understand the impact of visitor restrictions on their experiences.

resultsCompared to prerestrictions, caregivers under visitation restrictions communicated less frequently with the medical team (29% vs. 37% of hospitalized days; p = .04), fewer received discharge counseling (37% vs. 52%; p = .04), and disproportionately more had no contact with the medical team (36% vs. 17%; p < .01). Video conferencing was documented for caregivers of only five patients. Qualitative analysis revealed that both caregivers and patients experienced emotional distress, increased conflict, and decreased perception of quality of care because of visitation restrictions.

conclusionsHospital visitor restrictions significantly reduced caregivers' communication with patients' medical team, causing caregivers and patients emotional distress. Protocols that facilitate communication between caregivers and care teams may benefit caregivers who cannot be physically present at care facilities, including distance caregivers.

Indexed as

CaregiversCOVID-19AdultHospitalizationHumansPandemicsPatient Discharge

Identifiers

PMID35920080
PMCPMC9538139
OpenAlexW4289516900

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.