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New visiting policy: A step toward nursing ethics.

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Implementing a new contractual visitation policy in intensive care units significantly improved patient and family satisfaction. This patient-centered approach addresses essential needs and aligns with modern clinical guidelines for flexible visiting hours.

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Area of Science:

  • Healthcare Management
  • Patient Experience
  • Critical Care Nursing

Background:

  • Patient rights are intrinsically linked to their healthcare expectations and needs.
  • Visitation is a fundamental need for patients and their families in intensive care settings.

Purpose of the Study:

  • To design, implement, and evaluate a novel visiting policy within intensive care units.
  • To enhance patient and family satisfaction through a revised visitation approach.

Main Methods:

  • Action research methodology combining qualitative and quantitative approaches.
  • Semi-structured interviews and focus groups with 51 participants (patients, families, healthcare staff).
  • Development and implementation of a "contractual visitation" policy based on participant input.

Main Results:

  • Qualitative analysis identified advantages, disadvantages, barriers, and facilitators of visitation policy changes.
  • A statistically significant improvement in satisfaction was observed post-implementation of the contractual visitation policy (p < 0.001).

Conclusions:

  • The revised "contractual visitation" policy successfully met the needs of patients and families.
  • This participatory approach, involving patients, families, and staff, is crucial for effective policy change in critical care.