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Related Experiment Videos

Opening the ICU doors.

Michael E Westley1, Joan M Ching1, Shirley A Sherman1

  • 1Virginia Mason Medical Center, Clinical Administration, 1202 Terry Ave. #320, Mailstop: R3-320, Seattle, WA 98101, United States.

Healthcare (Amsterdam, Netherlands)
|August 8, 2015
PubMed
Summary
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Allowing unrestricted family presence in intensive care units (ICUs) can aid patient healing. This patient-centered approach required overcoming initial staff resistance through a structured, phased implementation.

Area of Science:

  • Critical Care Medicine
  • Patient and Family Centered Care

Background:

  • Family presence in intensive care units (ICUs) presents a conflict between patient healing needs and intensive care delivery.
  • Traditional ICU culture often resisted open visitation policies.

Purpose of the Study:

  • To describe the implementation of an "opening the doors" policy in an ICU, allowing unrestricted family presence and participation.
  • To detail the transformation towards a more patient- and family-centered care model.

Main Methods:

  • The transformation involved four key steps: securing leadership support, establishing a collective aim, piloting the changes on a small scale, and scaling up successful initiatives.
  • Crucially, ICU staff preparation was essential to ensure comfort with increased family presence.
Keywords:
CommunicationFamilyIntensive care

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Main Results:

  • The "opening the doors" initiative challenged established ICU traditions and professional norms, encountering initial resistance from nurses and physicians.
  • Successful implementation led to a shift towards patient- and family-centered care.

Conclusions:

  • Unrestricted family presence in ICUs can be successfully implemented, fostering patient healing.
  • "Opening the doors" serves as a guiding vision for organizing ICU operations and care delivery.