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An environmental scan of visitation policies in Canadian intensive care units during the first wave of the COVID-19 pandemic

PURPOSE: In response to the rapid spread of SARS-CoV-2, hospitals in Canada enacted temporary visitor restrictions to limit the spread of COVID-19 and preserve personal protective equipment supplies. This study describes the extent, variation, and fluctuation of Canadian adult intensive care unit (I...

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Autores principales: Fiest, Kirsten M., Krewulak, Karla D., Hiploylee, Carmen, Bagshaw, Sean M., Burns, Karen E. A., Cook, Deborah J., Fowler, Robert A., Kredentser, Maia S., Niven, Daniel J., Olafson, Kendiss, Parhar, Ken Kuljit S., Patten, Scott B., Fox-Robichaud, Alison E., Rewa, Oleksa G., Rochwerg, Bram, Spence, Krista L., Straus, Sharon E., Spence, Sean, West, Andrew, Stelfox, Henry T., Parsons Leigh, Jeanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244673/
https://www.ncbi.nlm.nih.gov/pubmed/34195922
http://dx.doi.org/10.1007/s12630-021-02049-4
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author Fiest, Kirsten M.
Krewulak, Karla D.
Hiploylee, Carmen
Bagshaw, Sean M.
Burns, Karen E. A.
Cook, Deborah J.
Fowler, Robert A.
Kredentser, Maia S.
Niven, Daniel J.
Olafson, Kendiss
Parhar, Ken Kuljit S.
Patten, Scott B.
Fox-Robichaud, Alison E.
Rewa, Oleksa G.
Rochwerg, Bram
Spence, Krista L.
Straus, Sharon E.
Spence, Sean
West, Andrew
Stelfox, Henry T.
Parsons Leigh, Jeanna
author_facet Fiest, Kirsten M.
Krewulak, Karla D.
Hiploylee, Carmen
Bagshaw, Sean M.
Burns, Karen E. A.
Cook, Deborah J.
Fowler, Robert A.
Kredentser, Maia S.
Niven, Daniel J.
Olafson, Kendiss
Parhar, Ken Kuljit S.
Patten, Scott B.
Fox-Robichaud, Alison E.
Rewa, Oleksa G.
Rochwerg, Bram
Spence, Krista L.
Straus, Sharon E.
Spence, Sean
West, Andrew
Stelfox, Henry T.
Parsons Leigh, Jeanna
author_sort Fiest, Kirsten M.
collection PubMed
description PURPOSE: In response to the rapid spread of SARS-CoV-2, hospitals in Canada enacted temporary visitor restrictions to limit the spread of COVID-19 and preserve personal protective equipment supplies. This study describes the extent, variation, and fluctuation of Canadian adult intensive care unit (ICU) visitation policies before and during the first wave of the COVID-19 pandemic. METHODS: We conducted an environmental scan of Canadian hospital visitation policies throughout the first wave of the pandemic. We conducted a two-phased study analyzing both quantitative and qualitative data. RESULTS: We collected 257 documents with reference to visitation policies (preCOVID, 101 [39%]; midCOVID, 71 [28%]; and lateCOVID, 85 [33%]). Of these 257 documents, 38 (15%) were ICU-specific and 70 (27%) referenced the ICU. Most policies during the midCOVID/lateCOVID pandemic period allowed no visitors with specific exceptions (e.g., end-of-life). Framework analysis revealed five overarching themes: 1) reasons for restricted visitation policies; 2) visitation policies and expectations; 3) exceptions to visitation policy; 4) patient and family-centred care; and 5) communication and transparency. CONCLUSIONS: During the first wave of the COVID-19 pandemic, most Canadian hospitals had public-facing visitor restriction policies with specific exception categories, most commonly for patients at end-of-life, patients requiring assistance, or COVID-19 positive patients (varying from not allowed to case-by-case). Further studies are needed to understand the consistency with which visitation policies were operationalized and how they may have impacted patient- and family-centred care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12630-021-02049-4.
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spelling pubmed-82446732021-07-01 An environmental scan of visitation policies in Canadian intensive care units during the first wave of the COVID-19 pandemic Fiest, Kirsten M. Krewulak, Karla D. Hiploylee, Carmen Bagshaw, Sean M. Burns, Karen E. A. Cook, Deborah J. Fowler, Robert A. Kredentser, Maia S. Niven, Daniel J. Olafson, Kendiss Parhar, Ken Kuljit S. Patten, Scott B. Fox-Robichaud, Alison E. Rewa, Oleksa G. Rochwerg, Bram Spence, Krista L. Straus, Sharon E. Spence, Sean West, Andrew Stelfox, Henry T. Parsons Leigh, Jeanna Can J Anaesth Reports of Original Investigations PURPOSE: In response to the rapid spread of SARS-CoV-2, hospitals in Canada enacted temporary visitor restrictions to limit the spread of COVID-19 and preserve personal protective equipment supplies. This study describes the extent, variation, and fluctuation of Canadian adult intensive care unit (ICU) visitation policies before and during the first wave of the COVID-19 pandemic. METHODS: We conducted an environmental scan of Canadian hospital visitation policies throughout the first wave of the pandemic. We conducted a two-phased study analyzing both quantitative and qualitative data. RESULTS: We collected 257 documents with reference to visitation policies (preCOVID, 101 [39%]; midCOVID, 71 [28%]; and lateCOVID, 85 [33%]). Of these 257 documents, 38 (15%) were ICU-specific and 70 (27%) referenced the ICU. Most policies during the midCOVID/lateCOVID pandemic period allowed no visitors with specific exceptions (e.g., end-of-life). Framework analysis revealed five overarching themes: 1) reasons for restricted visitation policies; 2) visitation policies and expectations; 3) exceptions to visitation policy; 4) patient and family-centred care; and 5) communication and transparency. CONCLUSIONS: During the first wave of the COVID-19 pandemic, most Canadian hospitals had public-facing visitor restriction policies with specific exception categories, most commonly for patients at end-of-life, patients requiring assistance, or COVID-19 positive patients (varying from not allowed to case-by-case). Further studies are needed to understand the consistency with which visitation policies were operationalized and how they may have impacted patient- and family-centred care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12630-021-02049-4. Springer International Publishing 2021-06-30 2021 /pmc/articles/PMC8244673/ /pubmed/34195922 http://dx.doi.org/10.1007/s12630-021-02049-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/Open AccessThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Reports of Original Investigations
Fiest, Kirsten M.
Krewulak, Karla D.
Hiploylee, Carmen
Bagshaw, Sean M.
Burns, Karen E. A.
Cook, Deborah J.
Fowler, Robert A.
Kredentser, Maia S.
Niven, Daniel J.
Olafson, Kendiss
Parhar, Ken Kuljit S.
Patten, Scott B.
Fox-Robichaud, Alison E.
Rewa, Oleksa G.
Rochwerg, Bram
Spence, Krista L.
Straus, Sharon E.
Spence, Sean
West, Andrew
Stelfox, Henry T.
Parsons Leigh, Jeanna
An environmental scan of visitation policies in Canadian intensive care units during the first wave of the COVID-19 pandemic
title An environmental scan of visitation policies in Canadian intensive care units during the first wave of the COVID-19 pandemic
title_full An environmental scan of visitation policies in Canadian intensive care units during the first wave of the COVID-19 pandemic
title_fullStr An environmental scan of visitation policies in Canadian intensive care units during the first wave of the COVID-19 pandemic
title_full_unstemmed An environmental scan of visitation policies in Canadian intensive care units during the first wave of the COVID-19 pandemic
title_short An environmental scan of visitation policies in Canadian intensive care units during the first wave of the COVID-19 pandemic
title_sort environmental scan of visitation policies in canadian intensive care units during the first wave of the covid-19 pandemic
topic Reports of Original Investigations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244673/
https://www.ncbi.nlm.nih.gov/pubmed/34195922
http://dx.doi.org/10.1007/s12630-021-02049-4
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