Hanley Julie Boyer, Piazza Julie
8D Intermediate Care Unit, University of Michigan Medical Center, Ann Arbor, MI 48109, USA.
Crit Care Nurs Q. 2012 Jan-Mar;35(1):113-22. doi: 10.1097/CNQ.0b013e31823b1ecd.
To guide family adjustment, an effort was made to facilitate pediatric visitation in an adult intensive care unit (ICU). Goals were to improve customer satisfaction and to raise staff comfort level with child visitation. After implementing an open visitation policy, concerns around pediatric visitation in the ICU remained. Fears centered on risks to both patient and child. Literature was reviewed before a book was written entitled A Visit to the ICU. It contained information about what a child visiting the ICU would see, hear, and feel when visiting a loved one. The book provided reassurance for caregivers and children, informing them about what to expect when visiting. The goal of the book was to provide caregivers with a framework for age-appropriate education. Staff education was provided on developmental stages, including a child's understandings of illness and death. Nursing interventions were reviewed and resources provided. A survey demonstrated that the book increased staff comfort level with children visiting the unit, was a positive tool for patients and families, and eased fears among children while helping to facilitate coping mechanisms. The article will describe the practice change of pediatric visitation in an ICU and how it could be applied to other critical care settings.
为指导家庭适应，我们努力在成人重症监护病房（ICU）促进儿童探视。目标是提高客户满意度，并提高工作人员对儿童探视的舒适度。实施开放探视政策后，ICU中儿童探视的相关问题依然存在。担忧主要集中在对患者和儿童的风险上。在撰写一本名为《探访重症监护病房》的书之前，我们查阅了相关文献。书中包含了儿童在探访重症监护病房中的亲人时会看到、听到和感受到的信息。这本书为照顾者和儿童提供了安心的内容，告知他们探访时会遇到什么。这本书的目标是为照顾者提供一个适合不同年龄段进行教育的框架。我们提供了关于儿童发育阶段的员工教育，包括儿童对疾病和死亡的理解。对护理干预措施进行了审查并提供了相关资源。一项调查表明，这本书提高了工作人员对儿童探访该病房的舒适度，对患者和家庭来说是一个积极的工具，减轻了儿童的恐惧，同时有助于促进应对机制。本文将描述ICU中儿童探视的实践变化以及如何将其应用于其他重症监护环境。
