An evaluation of family-centered care services and organization of visiting policies in Belgian intensive care units: A multicenter survey

Vandijck, Dominique M.; Labeau, Sonia O.; Geerinckx, Cindy E.; De Puydt, Ellen; Bolders, Ann C.; Claes, Brigitte; Blot, Stijn I.; Executive Board of the Flemish Society for Critical Care Nurses, Ghent and Edegem, Belgium,

doi:10.1016/j.hrtlng.2009.06.001

« Previous Next »Heart & Lung: The Journal of Acute and Critical Care
Volume 39, Issue 2 , Pages 137-146, March 2010

An evaluation of family-centered care services and organization of visiting policies in Belgian intensive care units: A multicenter survey

Presented in part at the 20th Annual Congress of the European Society of Intensive Care Medicine, October, 2007, Berlin, Germany. Reference: Vandijck DM, Labeau SO, Geerinckx CE, et al, on Behalf of the Flemish Society of Critical Care Nurses. Families' Reception and Visiting Policies in the Intensive Care Unit: A Multicentre Prospective Study. Intensive Care Med 2007;33(Suppl 1):S261;1015.

Dominique M. Vandijck, RN, CCRN, MSc, MA, PhD
- Department of General Internal Medicine and Infectious Diseases, Ghent University Hospital, Ghent, Belgium
- Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
- Reprint requests: Dominique Vandijck, RN, CCRN, MSc, MA, PhD, Ghent University, Ghent University Hospital, Faculty of Medicine and Health Sciences, Department of Intensive Care Medicine, De Pintelaan 185, 9000 Ghent, Belgium.
Sonia O. Labeau, RN, MNSc
- Department of Health Care, University College Ghent, Ghent, Belgium
Cindy E. Geerinckx, RN
- Department of Health Care, University College Ghent, Ghent, Belgium
Ellen De Puydt, RN
- Department of Health Care, University College Ghent, Ghent, Belgium
Ann C. Bolders, RN
- Department of Intensive Care Medicine, Antwerp University Hospital, Edegem, Belgium
Brigitte Claes, RN, MNSc
- Department of Intensive Care Medicine, Antwerp University Hospital, Edegem, Belgium
Stijn I. Blot, RN, CCRN, MSc, PhD
- Department of General Internal Medicine and Infectious Diseases, Ghent University Hospital, Ghent, Belgium
- Department of Health Care, University College Ghent, Ghent, Belgium
Executive Board of the Flemish Society for Critical Care Nurses, Ghent and Edegem, Belgium

published online 23 July 2009.

Background

Admission in an intensive care unit (ICU) is a major cause of psychologic stress for the patient and the entire family, and liberalization of visitation has been shown to have a beneficial impact. However, despite the data available, practice has not changed much to incorporate these findings.

Objective

This study aimed to evaluate the visiting policies of Belgian ICUs.

Methods

A descriptive multicenter questionnaire survey was prospectively conducted.

Results

Fifty-seven ICUs completed the questionnaire (75.0%). All (100%) reported restricted visiting-hour policies, and limited numbers of visitors. Mean total daily visiting time was 69±33minutes. The type of visitors was restricted to only immediate relatives in 11 ICUs (19.3%). Children were not allowed in 5 ICUs (8.8%), and 46 ICUs (80.7%) fixed an age limit for visiting. Thirty ICUs (52.6%) were providing families with information in a special room in addition to the waiting room, whereas 6 (10.5%) reported having no waiting room available, and 9 ICUs (15.8%) provided an information leaflet. A structured first family meeting at time of admission was organized in 42 ICUs (73.7%). A final family meeting at ICU discharge was planned in only 16 centers (28.1%).

Conclusion

Participating ICUs homogeneously reported restricted visiting policies regarding visiting hours and type and number of visitors. According to the evidence available, providing a plea for more liberal visitation, these results may be a first step toward reorganization of visiting policies in Belgian ICUs.