Jacob Mini, Horton Cynthia, Rance-Ashley Sharon, Field Tera, Patterson Robbie, Johnson Claudette, Saunders Holly, Shelton Tracy, Miller Jessica, Frobos Carmen
Cynthia Horton, Sharon Rance-Ashley, Tera Field, Robbie Patterson, Claudette Johnson, Holly Saunders, Tracy Shelton, and Jessica Miller are staff nurses, Carmen Frobos is a family coordinator, and Mini Jacob is the nurse educator in the neuroscience intensive care unit, Emory University Hospital, Atlanta, Georgia.
Am J Crit Care. 2016 Mar;25(2):118-25. doi: 10.4037/ajcc2016258.
Although many critical care experts and national organizations support open visitation in intensive care units (ICUs), most ICU visiting policies do not allow unrestricted presence of patients' family members.
To describe how well the needs of family members were met in an adult neuroscience ICU with a continuous visitation policy and an adjoining private suite for patients' family members.
An exploratory, descriptive study design was used to identify the effects of continuous family visitation in the neuroscience ICU on patients' family members and their needs and experiences during their time in the unit. A convenience sample of consenting family members completed a survey of family need items 72 hours after the patient was admitted to the unit.
The most important needs identified by the 45 family members surveyed were items relating to information about the patient, visiting the patient, being given hope, talking with a doctor each day, and being assured that the best care is being given to the patient. Least important items were related to physical comforts for the family members. The vast majority of family members rated their needs as being met for all of the items in the survey and reported a high level of satisfaction with care.
In a neuroscience ICU with an open visitation policy and a private suite for patients' family members, family members rated their needs as being met at a high level, unlike in prior studies in units with limitations on family visitation. The rank order of the importance of each need in the survey was similar to rankings in prior studies in a variety of critical care units.
尽管许多重症监护专家和国家组织支持重症监护病房（ICU）实行开放式探视，但大多数ICU探视政策并不允许患者家属不受限制地探视。
描述在一个实行持续探视政策且设有供患者家属使用的相邻私人套房的成人神经科学ICU中，家属的需求得到满足的程度。
采用探索性描述性研究设计，以确定神经科学ICU中持续的家属探视对患者家属的影响，以及他们在病房期间的需求和经历。在患者入住病房72小时后，便利抽样选取同意参与的家属完成一份关于家属需求项目的调查。
接受调查的45名家属确定的最重要需求是与患者信息、探视患者、获得希望、每天与医生交谈以及确保患者得到最佳治疗相关的项目。最不重要的项目与家属的身体舒适有关。绝大多数家属对调查中的所有项目都表示他们的需求得到了满足，并对护理表示高度满意。
在一个实行开放式探视政策且设有供患者家属使用的私人套房的神经科学ICU中，家属认为他们的需求得到了高度满足，这与之前在限制家属探视的病房进行的研究不同。调查中每项需求的重要性排序与之前在各种重症监护病房进行的研究中的排序相似。
