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Implementation and sustainment strategies for open visitation in the intensive care unit: A multicentre qualitative study()
OBJECTIVE: Open visitation in adult intensive care units has been associated with improved family and patient outcomes. However, worldwide adoption of this practice has been slow and reasons for this are unclear. This study documents barriers and strategies for implementing and sustaining open visit...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Published by Elsevier Ltd.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444949/ https://www.ncbi.nlm.nih.gov/pubmed/32855008 http://dx.doi.org/10.1016/j.iccn.2020.102927 |
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author | Milner, Kerry A. Marmo, Suzanne Goncalves, Susan |
author_facet | Milner, Kerry A. Marmo, Suzanne Goncalves, Susan |
author_sort | Milner, Kerry A. |
collection | PubMed |
description | OBJECTIVE: Open visitation in adult intensive care units has been associated with improved family and patient outcomes. However, worldwide adoption of this practice has been slow and reasons for this are unclear. This study documents barriers and strategies for implementing and sustaining open visitation in adult intensive care units in the United States experienced by nursing leadership. RESEARCH DESIGN: Qualitative approach using grounded theory. PARTICIPANTS: Nurse leaders in adult intensive care units with open visitation. SETTING: Magnet® or Pathway to Excellence® designated hospitals in the United States. METHODS: Semi structured interviews were conducted with 19 nurse leaders from 15 geographically dispersed hospitals. Interviews were recorded, transcribed and imported into Atlas.ti qualitative software for analysis. Grounded theory constant comparison analysis was used for coding and category development. FINDINGS: The analysis revealed three barriers; nursing attitudes and clinical and nonclinical barriers. Strategies to overcome these barriers were empathy, evidence-based practice, models of care, shared governance, nurse discretion, security and family spaces. CONCLUSION: Intensive care nursing leadership experienced distinct barriers and strategies during pre-implementation, implementation and sustainment of open visitation. Other nursing leaders interested in open visitation can use these findings as they plan this transition in their intensive care units. |
format | Online Article Text |
id | pubmed-7444949 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Published by Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-74449492020-08-26 Implementation and sustainment strategies for open visitation in the intensive care unit: A multicentre qualitative study() Milner, Kerry A. Marmo, Suzanne Goncalves, Susan Intensive Crit Care Nurs Research Article OBJECTIVE: Open visitation in adult intensive care units has been associated with improved family and patient outcomes. However, worldwide adoption of this practice has been slow and reasons for this are unclear. This study documents barriers and strategies for implementing and sustaining open visitation in adult intensive care units in the United States experienced by nursing leadership. RESEARCH DESIGN: Qualitative approach using grounded theory. PARTICIPANTS: Nurse leaders in adult intensive care units with open visitation. SETTING: Magnet® or Pathway to Excellence® designated hospitals in the United States. METHODS: Semi structured interviews were conducted with 19 nurse leaders from 15 geographically dispersed hospitals. Interviews were recorded, transcribed and imported into Atlas.ti qualitative software for analysis. Grounded theory constant comparison analysis was used for coding and category development. FINDINGS: The analysis revealed three barriers; nursing attitudes and clinical and nonclinical barriers. Strategies to overcome these barriers were empathy, evidence-based practice, models of care, shared governance, nurse discretion, security and family spaces. CONCLUSION: Intensive care nursing leadership experienced distinct barriers and strategies during pre-implementation, implementation and sustainment of open visitation. Other nursing leaders interested in open visitation can use these findings as they plan this transition in their intensive care units. Published by Elsevier Ltd. 2021-02 2020-08-24 /pmc/articles/PMC7444949/ /pubmed/32855008 http://dx.doi.org/10.1016/j.iccn.2020.102927 Text en © 2020 Published by Elsevier Ltd. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Research Article Milner, Kerry A. Marmo, Suzanne Goncalves, Susan Implementation and sustainment strategies for open visitation in the intensive care unit: A multicentre qualitative study() |
title | Implementation and sustainment strategies for open visitation in the intensive care unit: A multicentre qualitative study() |
title_full | Implementation and sustainment strategies for open visitation in the intensive care unit: A multicentre qualitative study() |
title_fullStr | Implementation and sustainment strategies for open visitation in the intensive care unit: A multicentre qualitative study() |
title_full_unstemmed | Implementation and sustainment strategies for open visitation in the intensive care unit: A multicentre qualitative study() |
title_short | Implementation and sustainment strategies for open visitation in the intensive care unit: A multicentre qualitative study() |
title_sort | implementation and sustainment strategies for open visitation in the intensive care unit: a multicentre qualitative study() |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444949/ https://www.ncbi.nlm.nih.gov/pubmed/32855008 http://dx.doi.org/10.1016/j.iccn.2020.102927 |
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