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Related Experiment Videos

Implementation and evaluation of a liberalized visiting policy

T Simpson1, D Wilson, N Mucken

  • 1University of Washington School of Nursing, Seattle, USA.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|November 1, 1996
PubMed
Summary

Liberalizing intensive care unit (ICU) visiting policies positively impacts patient well-being and nurse satisfaction. Successful implementation requires assessing nurse attitudes and involving staff in policy development.

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Area of Science:

  • Critical Care Nursing
  • Healthcare Policy
  • Patient Experience

Background:

  • Intensive care unit (ICU) visiting policies have shifted towards liberalization.
  • The process and outcomes of modifying these policies remain under-described.

Purpose of the Study:

  • To detail the transition from restricted to liberalized (modified open) visiting in a critical care unit.
  • To assess nurses' perceptions of visiting policies before and after liberalization.

Main Methods:

  • Nurses discussed and implemented a liberalized visiting policy over three months.
  • Pre- and post-implementation surveys (N=36, N=32) evaluated nurses' beliefs, attitudes, and satisfaction.

Main Results:

  • Nurses confirmed policy liberalization and perceived positive effects on patients' emotional state.

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  • Nurses reported higher satisfaction and more positive attitudes regarding family impact than patient or unit function.
  • Differing views existed on the impact on patients' physiological responses and unit operations.

    • Conclusions:

    • Successful liberalized visiting requires evaluating nurses' attitudes and satisfaction.
    • Staff involvement in policy creation is crucial for effective implementation.
    • Support from nurse managers and clinical nurse specialists is essential.