开放式参观:使家庭存在,集中护理和在重症监护室的参与成为可能
Kerry A Milner1, Suzanne Marmo2
1College of Nursing, Sacred Heart University, Dr Susan L. Davis, RN & Richard J. Henley, 5151 Park Avenue, Fairfield, CT 06825, USA.
在ICU中的以家庭为中心的护理 (FCC) 被COVID-19政策破坏,导致患者,家人和工作人员陷入困境. 重新建立FCC需要优先考虑开放式访问,同时管理感染控制.
科学领域:
- 关键护理医学 关键护理医学
- 患者和家庭的参与.
- 医疗保健政策 医疗保健政策
背景情况:
- 在ICU中,以家庭为中心的护理 (FCC) 是至关重要的,它促进了合作和共享决策.
- FCC通常涉及开放式访问,允许家人在床边.
- 由于COVID-19大流行,需要采取限制性政策,消除家庭的存在.
研究的目的:
- 检查与流行病相关的访问限制对FCC在ICU中的影响.
- 为了突出FCC中断造成的不利结果.
- 通过公开访问来倡导FCC的重建.
主要方法:
- 审查COVID-19访问政策对ICU护理的影响.
- 对患者,家庭和医疗保健工作人员的结果分析.
- 评估在平衡感染控制与家庭存在方面的挑战.
主要成果:
- 限制性政策导致患者孤独和妄想.
- 家庭经历了相当大的痛苦,悲伤和情绪上的痛苦.
- 由于改变了护理模式,医疗保健工作人员面临道德伤害和倦怠.
- 干扰FCC对治疗环境产生了负面影响.
结论:
- 恢复以家庭为中心的护理对于ICU康复至关重要.
- 优先考虑开放式访问对于患者的福祉和家庭支持至关重要.
- 为了促进FCC,需要平衡感染控制和运营需求.
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