Evidence map›Paper›PMID 39148067›Full record

SynthesisBMC health services research2024

Impact of restricted family presence during the COVID-19 pandemic on critically ill patients, families, and critical care clinicians: a qualitative systematic review.

Karla D Krewulak, Natalia Jaworska, Laurie Lee, Julia St Louis, Olesya Dmitrieva, Madison P Leia, Christopher Doig, Daniel J Niven, Ken Kuljit S Parhar, Bram Rochwerg and 4 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
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

14 authors.

Karla D KrewulakDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada.
Natalia JaworskaDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada.
Laurie LeeDepartment of Pediatrics, Cumming School of Medicine, Pediatric Intensive Care Unit, Children's Hospital Research Institute, Faculty of Nursing, University of Calgary, Calgary, Alberta, AB, Canada.
Julia St LouisLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Olesya DmitrievaDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada.
Madison P LeiaDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada.
Christopher DoigDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada.
Daniel J NivenDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada.
Ken Kuljit S ParharDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada.
Bram RochwergDepartment of Medicine, Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Andrew WestCanadian Society of Respiratory Therapists, Ottawa, ON, Canada.
Henry T StelfoxDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada.
Jeanna Parsons LeighFaculty of Health, School of Health Administration, Dalhousie University, Halifax, NS, Canada.
Kirsten M FiestDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada. kmfiest@ucalgary.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to synthesize the qualitative evidence on the impacts of COVID-19-related restricted family presence policies from the perspective of patients, families, and healthcare professionals from neonatal (NICU), pediatric (PICU), or adult ICUs.

methodsWe searched MEDLINE, EMBASE, Cochrane Databases of Reviews and Clinical Trials, CINAHL, Scopus, PsycINFO, and Web of Science. Two researchers independently reviewed titles/abstracts and full-text articles for inclusion. Thematic analysis was completed following appraising article quality and assessing confidence in the individual review findings using standardized tools.

resultsWe synthesized 54 findings from 184 studies, revealing the impacts of these policies in children and adults on: (1) Family integrated care and patient and family-centered care (e.g., disruption to breastfeeding/kangaroo care, dehumanizing of patients); (2) Patients, families, and healthcare professionals (e.g., negative mental health consequences, moral distress); (3) Support systems (e.g., loss of support from friends/families); and (4) Relationships (e.g., loss of essential bonding with infant, struggle to develop trust). Strategies to mitigate these impacts are reported.

conclusionThis review highlights the multifaceted impacts of restricted visitation policies across distinct care settings and strategies to mitigate the harmful effects of these policies and guide the creation of compassionate family presence policies in future health crises. REGISTRATION: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=290263 .

Indexed as

COVID-19Critical IllnessFamilyQualitative ResearchAdultCritical CareHealth PersonnelHumansIntensive Care UnitsPandemicsSARS-CoV-2Visitors to PatientsCOVID-19Critical careFamily centred careIntensive care unitPandemicQualitative researchRelativesSARS-CoV-2Visiting restrictions

Identifiers

PMID39148067
PMCPMC11328402

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.