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Published on: January 17, 2011
[Can children visit their relatives in an adult ICU?]
François Blot1, Audrey Foubert, Cécile Kervarrec
1Réanimation médicochirurgicale, Institut Gustave Roussy, 39, rue Camille-Desmoulins, 94805 Villejuif Cedex.
Insights
Allowing children to visit parents in the oncology intensive care unit (ICU) significantly improved the well-being of patients, families, and staff. This child visitation policy reduced psychological distress for all involved.
Area of Science:
- Oncology
- Pediatric Psychology
- Critical Care Medicine
Background:
- Critically ill cancer patients in intensive care units (ICUs) often face psychological distress.
- The presence of visiting children in adult ICUs is typically restricted, potentially increasing patient and family anxiety.
Purpose of the Study:
- To evaluate the impact of a new policy allowing children (0-18 years) to visit parents in an oncology ICU.
- To assess the psychological burden on critically ill cancer patients, their children, families, and nursing staff.
Main Methods:
- A liberalized visitation and education policy for children was implemented.
- A dedicated procedure was developed to prepare children for the visit and mitigate potential trauma.
- Questionnaires were administered to visiting children, patients, parents, and nursing staff after two years.
Main Results:
- The policy led to dramatic improvements in the daily lives of nursing staff, visiting children, families, and patients.
- Positive outcomes were observed even in challenging medical situations.
- Preliminary findings and staff/patient feedback were favorable, leading to policy adoption.
Conclusions:
- Allowing children to visit parents in the oncology ICU is beneficial and should be considered.
- This policy significantly reduced psychological burden and improved overall well-being.
- The policy warrants evaluation and potential implementation in other types of intensive care units.
Abstract:
For the last three years, our oncology ICU (intensive care unit) has been opened to visiting children between 0 and 18 years. Our objective was to attempt to decrease the psychological burden in critically ill cancer patients and their children. We report here the evaluation of this new policy. Encouraged by the child psychologists in our hospital, we first recorded the opinions of the nursing staff, patients and relatives about this innovative approach. As our preliminary findings were favourable, a liberalised greeting and education policy for visiting children was implemented. A dedicated procedure was followed in order to provide children with a better understanding of their parent's disease, to alleviate any traumatic experience the visit might cause and to create an environment where mutual confidence would reign. After 2 years, each visiting child, patient, accompanying parent and the nursing staff were directly questioned using a specifically designed questionnaire. The daily lives of the staff, children, families and patients themselves appeared to be dramatically improved, even in the most difficult medical situations. Based on these promising results, the new policy has definitively been adopted in our unit. We propose that children ought to be allowed to visit a parent in the ICU and that this policy warrants evaluation in other types of units.
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