Visits of children to patients being cared for in adult ICUs: policies, guidelines and recommendations

Intensive Crit Care Nurs. 2004 Oct;20(5):264-74. doi: 10.1016/j.iccn.2004.06.004.

Abstract

Little is known about the frequency of children visiting their nearest relatives in adult ICUs or if there are any policies/guidelines or recommendations regarding these. The aims of this multi-centre descriptive study were to survey Swedish ICUs policies/guidelines or recommendations, and examine the reasons given both for and against restricting child visits; if parents/guardians sought advice in connection with such visits, and if any differences in demographic data could be ascertained. Fifty-six Lead Nurse Managers (LNM), representing as many general adult ICUs, participated by answering a questionnaire. Only one ICU had written policy/guidelines concerning child visits; most ICUs (70%) had no policies/guidelines at all. All LNMs reported that their ICU was positive to child visits, but only two actively encouraged these. Nineteen (34%) of the ICUs restricted child visits. More than 50% of the LNMs reported that only about half of their patients ever had visits from children. Seventy percent of the ICUs had no restrictions on visiting hours, but 30% imposed some form of restriction. Twenty LNMs reported that 75% of the parents/guardians of children 0-6 years old asked for advice about child visits. However, those responsible for children >12 years of age seldom asked for any advice at all.

MeSH terms

  • Adult
  • Age Factors
  • Attitude of Health Personnel
  • Attitude to Health
  • Child
  • Child, Preschool
  • Female
  • Guidelines as Topic*
  • Health Services Research
  • Hospitals, County / organization & administration
  • Hospitals, District / organization & administration
  • Hospitals, University / organization & administration
  • Humans
  • Infant
  • Intensive Care Units / organization & administration*
  • Male
  • Needs Assessment
  • Nurse Administrators / organization & administration
  • Nurse Administrators / psychology
  • Organizational Policy
  • Parents / education
  • Parents / psychology
  • Psychology, Child*
  • Surveys and Questionnaires
  • Sweden
  • Time Factors
  • Visitors to Patients* / psychology
  • Visitors to Patients* / statistics & numerical data