Evidence map›Paper›PMID 42723040›Full record

ArticleBMC nursing2026

Inpatient ward nurses' perceptions of extended visiting hours in a Singapore tertiary acute hospital: a repeated cross-sectional mixed-methods study.

Kai Yunn Teo, Sook Han Kan, Long Xia Yuan, Patricia Yueh Li Yong, Jade Gaik Nai Ng

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Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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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

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kai Yunn TeoNursing Division, Singapore General Hospital, Singapore, Singapore. teo.kai.yunn@sgh.com.sg.ORCID https://orcid.org/0009-0003-8096-9224
Sook Han KanNursing Division, Singapore General Hospital, Singapore, Singapore.
Long Xia YuanNursing Division, Singapore General Hospital, Singapore, Singapore.
Patricia Yueh Li YongNursing Division, Singapore General Hospital, Singapore, Singapore.
Jade Gaik Nai NgNursing Division, Singapore General Hospital, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtended family visiting hours may support person- and family-centred care but can increase operational burden for ward nurses. The relevant operational domains include noise and rest, procedure timing and ward routines, family interactions and communication, infection control, ward space and workflow, care quality and coordination, and stress and workload. Evidence on how nurses' perceptions across these domains evolve during implementation remains limited.

methodsWe conducted a repeated cross-sectional, quantitatively dominant mixed-methods study using two anonymous hospital-wide surveys: Wave 1 (16-30 March 2025) and Wave 2 (30 March-15 April 2026). The analytic samples comprised 268 and 338 nursing respondents. Thirteen de novo items derived from operational monitoring objectives were compared using Pearson chi-square tests with Benjamini-Hochberg false-discovery-rate correction; binary logistic regression estimated the odds of reporting 'Worsened'. Brief free-text comments underwent structured descriptive content analysis, with operational themes stratified by the common general-suggestions prompt and the Wave-2-only problem-focused prompt.

resultsBased on human-resources-confirmed inpatient ward nurse denominators (2,625 and 2,792), response rates were 10.2% and 12.1%. Response distributions were more favourable in Wave 2 for 12 of 13 shared items after false-discovery-rate correction (q < 0.05; odds ratios for 'Worsened' 0.33-0.57). Infection control was the sole estimate compatible with no cross-wave difference (OR 0.92, 95% CI 0.67-1.27), while 46.2% still rated it 'Worsened' in Wave 2. Workload (43.2%), ward space (48.8%), noise (39.3%), and workflow (34.0%) also remained substantial burdens. Prompt-stratified free text described relational benefits alongside persistent interruptions, infection-control monitoring, noise/rest concerns, and variable caregiver participation.

conclusionsNursing respondents reported more favourable perceptions in Wave 2 across most domains, particularly relational and communication domains, but the anonymous repeated cross-sectional design cannot distinguish adaptation from differences in respondent composition. The combined pattern is most consistent with partial adaptation rather than full normalisation. Persistent infection-control, workload, noise, and space burdens indicate priorities for structural support and prospective evaluation.

trial registrationNot applicable.

Indexed as

Family-centred careImplementationInfection controlMixed methodsNormalisation Process TheoryNursing staffRepeated cross-sectionalVisiting hoursWorkload

Identifiers

PMID42723040
PMCPMC13563986

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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.