Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation
Abstract Purpose To guarantee the safety of the public, clinicians and patients during the COVID-19 pandemic, hospital visits were severely restricted internationally. There are limited data on the precise impact of these visiting restrictions on Intensive Care Unit clinicians. Our objectives theref...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-01-01
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| Series: | Critical Care |
| Online Access: | https://doi.org/10.1186/s13054-023-04318-8 |
| _version_ | 1797945872599744512 |
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| author | Joanne McPeake Nancy Kentish-Barnes Emilie Banse Lynne Anderson Cecilia Cuzco Elie Azoulay Tara Quasim Pedro Castro Kathryn Puxty |
| author_facet | Joanne McPeake Nancy Kentish-Barnes Emilie Banse Lynne Anderson Cecilia Cuzco Elie Azoulay Tara Quasim Pedro Castro Kathryn Puxty |
| author_sort | Joanne McPeake |
| collection | DOAJ |
| description | Abstract Purpose To guarantee the safety of the public, clinicians and patients during the COVID-19 pandemic, hospital visits were severely restricted internationally. There are limited data on the precise impact of these visiting restrictions on Intensive Care Unit clinicians. Our objectives therefore were to explore the impact of family visitation restrictions on clinicians and care delivery and describe innovation alongside areas for potential improvement. Methods A qualitative approach using focus groups was employed. We recruited members of the multi-disciplinary team from Spain, France and the UK. Framework analysis was used to synthesize and interpret data. Results In total, 28 staff from multiple international sites contributed to data across six focus groups: 12 from the UK, 9 from France and 7 from Spain. In relation to the key aims, we derived four themes: the emergence of new technologies, relationships and rapport establishment, communication challenges and end-of-life care provision. Across each theme, the overarching concepts of clinician emotional exhaustion and emotional distress emerged alongside the negative impact on job satisfaction. Conclusion The impact of COVID-19 family visitation restrictions is far reaching. Future research should examine the wider impact of family presence in the ICU. |
| first_indexed | 2024-04-10T21:02:01Z |
| format | Article |
| id | doaj.art-50dd551acef14f69a5bd4f6fe41031bf |
| institution | Directory Open Access Journal |
| issn | 1364-8535 |
| language | English |
| last_indexed | 2024-04-10T21:02:01Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Critical Care |
| spelling | doaj.art-50dd551acef14f69a5bd4f6fe41031bf2023-01-22T12:15:05ZengBMCCritical Care1364-85352023-01-0127111110.1186/s13054-023-04318-8Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigationJoanne McPeake0Nancy Kentish-Barnes1Emilie Banse2Lynne Anderson3Cecilia Cuzco4Elie Azoulay5Tara Quasim6Pedro Castro7Kathryn Puxty8The Healthcare Improvement Studies Institute, University of CambridgeAP-HP Nord, Saint Louis Hospital, Medical Intensive Care, Famiréa Research GroupPsychological Sciences Research Institute, Université Catholique de LouvainDepartment of Anaesthetics, Golden Jubilee National HospitalMedical Lntensive Care Unit, Hospital Clínic of Barcelona, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), University of BarcelonaAP-HP Nord, Saint Louis Hospital, Medical Intensive Care, Famiréa Research GroupIntensive Care Unit, Glasgow Royal InfirmaryMedical Lntensive Care Unit, Hospital Clínic of Barcelona, Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), University of BarcelonaIntensive Care Unit, Glasgow Royal InfirmaryAbstract Purpose To guarantee the safety of the public, clinicians and patients during the COVID-19 pandemic, hospital visits were severely restricted internationally. There are limited data on the precise impact of these visiting restrictions on Intensive Care Unit clinicians. Our objectives therefore were to explore the impact of family visitation restrictions on clinicians and care delivery and describe innovation alongside areas for potential improvement. Methods A qualitative approach using focus groups was employed. We recruited members of the multi-disciplinary team from Spain, France and the UK. Framework analysis was used to synthesize and interpret data. Results In total, 28 staff from multiple international sites contributed to data across six focus groups: 12 from the UK, 9 from France and 7 from Spain. In relation to the key aims, we derived four themes: the emergence of new technologies, relationships and rapport establishment, communication challenges and end-of-life care provision. Across each theme, the overarching concepts of clinician emotional exhaustion and emotional distress emerged alongside the negative impact on job satisfaction. Conclusion The impact of COVID-19 family visitation restrictions is far reaching. Future research should examine the wider impact of family presence in the ICU.https://doi.org/10.1186/s13054-023-04318-8 |
| spellingShingle | Joanne McPeake Nancy Kentish-Barnes Emilie Banse Lynne Anderson Cecilia Cuzco Elie Azoulay Tara Quasim Pedro Castro Kathryn Puxty Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation Critical Care |
| title | Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation |
| title_full | Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation |
| title_fullStr | Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation |
| title_full_unstemmed | Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation |
| title_short | Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation |
| title_sort | clinician perceptions of the impact of icu family visiting restrictions during the covid 19 pandemic an international investigation |
| url | https://doi.org/10.1186/s13054-023-04318-8 |
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