Literature Review: Open Visitations in ICU Oksana Bjorlie Walden University Essentials of Evidence-Based Practice

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Literature Review: Open Visitations in ICU

Studies have shown that open ICU visitation is an asset rather than a hindrance with respect to a patient’s wellbeing. Since the 1950s, visiting has changed from a strict nurse-controlled regime to a more flexible patient-centered approach (Taylor, 2008, p. 30). Family inclusion in patient care is evolving into a collaborative model between patient, family and healthcare providers. In response to this collaboration of patient and family-centered care (PFCC), this method has been encouraged in order to achieve the most beneficial outcomes for patients and their families. Open visitation in the ICU should be encouraged, not because of the pressure of growing social awareness, but because it can provide comprehensive responses to the needs of patients and their families. Many studies are being conducted on this subject garnering a great deal of support prompting the implementation of PFCC, which encourages open visitation in ICU.
The following is a brief summary of research studies concerning the current state of knowledge related to the promotion and benefits of open visitation in the ICU.
Literature Sources
The main purpose of conducting a literature review is to obtain the most usable and reliable studies that pertain to the topic of the interest. High reliability and quality of evidence-based studies are provided by filtered sources. For my review I was able to find systematic reviews and individual articles. All of these reviews pertain to the dilemma of open visitation vs. restricted visitation in Intensive Care Units. With multiple views from different perspectives I was able to utilize the comparison and trials approaches. Also, to prepare for this project I was able to utilize unf...

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...ithin the context of patient- and family- centered care.
International Journal of Evidence Based Healthcare, 9: 362-387. doi:10.1111/j.1744-1609.2011.00229.x Clarke, C., Harrison, D. (2001). The needs of children visiting on adult ICU: a review of the literature and recommendations for practice. Journal of Advanced Nursing, 34(1), 61-68.
Giannini, A. (2007). Open intensive care units: the case in favor. Minerva Anestesiologica,
73(5), 299-304.
Hoye, S., Severinsson, E. (2007). Methodological aspects of rigor in qualitative nursing research on families involved in ICU: A literature review. Nursing and Health Sciences, 9, 61-68 doi:10.1111/j.14422018.2007.00300.x Taylor, A. (2008). Exploring patient, visitor and staff views on open visiting. Nursing Times,
104, 30-33.

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