Practice of Family-centred Care in Intensive Care Units before the COVID-19-Pandemic: a cross-sectional analysis in German-speaking countries

Brauchle, Maria; Nydahl, Peter; Pregartner, Gudrun; Hoffmann, Magdalena; Jeitziner, Marie-Madlen (2021). Practice of Family-centred Care in Intensive Care Units before the COVID-19-Pandemic: a cross-sectional analysis in German-speaking countries. Intensive and critical care nursing, 68, p. 103139. Elsevier 10.1016/j.iccn.2021.103139

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Abstract
Objectives
To provide insights into visiting policies and family-centred care practices with a focus on children as visitors in Intensive Care Units (ICUs) in German-speaking countries.

Methods/ Design
Online-survey with a mixed approach were used. Leading clinicians (n=1,943) from German-speaking countries were invited to participate. Outcomes included the percentage of ICUs with open visiting policies, age restrictions, family-centred care activities and barriers.

Setting
Paediatric, mixed and adult ICUs.

Results
In total, 19.8% (n=385) of the clinicians responded. Open visiting times were reported by 36.3% (n=117), with significant differences between paediatric (79.2%), adult (21.3%) and mixed-age (41.2%) ICUs (p<001). Two-thirds of clinicians stated that their ICUs had no age restrictions for visiting children as visitors (n=221, 68.4%). The family-centred care activities most frequently implemented were open visiting times and dissemination of information. Significantly more German ICUs have open visiting policies and more Swiss ICUs allow children as visitors, compared to the other countries (both p<0.001). Barriers to family-centred care were concerns about children being traumatized, infection and workload.

Conclusion
The majority reported that family-centred care policies had been implemented in their ICUs, including open visiting policies, allowing children as visitors without age restriction and other family-centred care activities.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care

UniBE Contributor:

Jeitziner, Marie-Madlen (B)

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0964-3397

Publisher:

Elsevier

Language:

English

Submitter:

Isabelle Arni

Date Deposited:

29 Sep 2021 11:21

Last Modified:

29 Mar 2023 23:37

Publisher DOI:

10.1016/j.iccn.2021.103139

BORIS DOI:

10.48350/159291

URI:

https://boris.unibe.ch/id/eprint/159291

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