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Challenging restricted visiting policies in critical care.

S M Chow1

  • 1University of Saskatchewan, Saskatoon.

Official Journal of the Canadian Association of Critical Care Nurses
|February 26, 2000
PubMed
Summary

Family-centered care in critical care units is essential. This review examines literature refuting reasons for restricted visiting, advocating for liberalized family access in intensive care settings.

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Area of Science:

  • Nursing
  • Critical Care Medicine
  • Family Studies

Background:

  • The need for family presence in critical care units was identified in 1979.
  • Family visiting policies in intensive care have been a long-standing controversy.
  • Restricted visiting has historically been common practice in critical care.

Purpose of the Study:

  • To review literature challenging rationales for restricting family access to critical care units.
  • To explore the benefits and implementation of liberalized visiting policies.
  • To advocate for family-centered care models in critical care.

Main Methods:

  • Literature review and synthesis.
  • Analysis of existing research on family needs and visiting restrictions.
  • Overview of different liberalized visiting policy models.

Main Results:

  • Evidence refutes common justifications for limiting family visitation.
  • Liberalized visiting policies can enhance patient and family well-being.
  • Structured or open visiting models offer alternatives to restrictive practices.

Conclusions:

  • Restricted family visiting in critical care is increasingly challenged by evidence.
  • Liberalized visiting policies support family-centered care principles.
  • Adoption of open, contract, or structured visiting can improve the critical care experience.

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