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Current Trends and Practices of Intensive Care Unit Visitations.

Geraldine C Fike1, Marilyn Smith-Stoner2, Dawn I Blue3

  • 1California State University, San Bernardino, California gfike@csusb.edu.

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Summary

Hospital visitation policies in California are inconsistent and do not align with current evidence. Nurses should advocate for policy changes to better support patients and families during hospital stays.

Keywords:
guidelinesintensive care unitpolicyvisitation

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Area of Science:

  • Healthcare Policy
  • Nursing Practice
  • Patient Advocacy

Background:

  • Debates over patient visitation policies have persisted for decades.
  • Nurses often express conflicted opinions regarding fully open visiting hours.
  • Family members strongly desire bedside presence for their loved ones.

Purpose of the Study:

  • To review and compare acute care hospital visiting policies in California with American Association of Critical-Care Nurses recommendations.

Main Methods:

  • A descriptive study analyzed data from 363 California acute care hospital websites.
  • The analysis focused on critical care visiting hours, including visitor type, age, and number.

Main Results:

  • A wide variation in visitation policies was observed across reviewed hospital websites.
  • Hospitals lacked consistent policies regarding visiting hours, age, relationship, or number of visitors.

Conclusions:

  • California hospital visitation policies are inconsistent, unevenly enforced, and do not reflect current evidence or practice guidelines.
  • Nurses have an ethical obligation to advocate for policy changes based on evidence and practice guidelines to improve patient care.