Department of Internal Medicine, Nursing Science, Erasmus Medical Center, Rotterdam, the Netherlands.
Department of Intensive Care Adults, Erasmus Medical Center, Rotterdam, the Netherlands.
Appl Nurs Res. 2020 Oct;55:151320. doi: 10.1016/j.apnr.2020.151320. Epub 2020 Jun 17.
To explore the perspectives of patients, their relatives and nurses on rooming-in for adult patients.
The practice of having family stay overnight with an adult patient in hospital is quite new. To support rooming-in programs, the perspectives from all stakeholders should be taken into account.
All types of studies on rooming-in in adult healthcare settings were included in this scoping review. Rooming-in has been defined as the practice where 'family members or trusted others are facilitated to continuously stay with the patient and are provided with facilities to sleep in the patient's room'.
Seven studies were included: one randomized controlled trial, three qualitative studies, and three correspondence articles. Generally, patients felt safe in the presence of a family member, but could also feel restricted in their freedom and privacy. Family members saw a benefit for the patient, considered rooming-in a moral duty, and were happy to help. Nonetheless, family members reported rooming-in as physically and emotionally stressful. Nurses described that patients were less anxious and more easily adjusted to the hospital environment.
The reviewed studies suggest that patients, family members, and nurses have both positive and negative experiences with rooming-in. The concept of rooming-in varies from continuous presence and involvement of relatives to one overnight stay in the patient's room. Each interpretation has its own implications for policy, design, guidelines and feasibility of rooming-in. Nursing staff should be included in decision-making processes for this practice.
探讨患者、患者亲属和护士对成年患者陪住的看法。
让家属在医院陪夜的做法在成人医疗保健领域还比较新颖。为了支持陪住计划，应该考虑到所有利益相关者的观点。
本范围综述纳入了所有类型的成年患者在医疗保健环境中陪住的研究。陪住被定义为“允许家属或可信赖的人持续陪伴患者，并为其在患者房间内睡觉提供设施”的做法。
共纳入 7 项研究：1 项随机对照试验、3 项定性研究和 3 篇通讯文章。总体而言，患者在有家属陪伴时感到安全，但也感到自由和隐私受到限制。家属认为陪住对患者有益，是一种道德责任，并且乐于提供帮助。然而，家属也表示陪住会带来身体和情感上的压力。护士描述说，陪住可以使患者减少焦虑，更容易适应医院环境。
综述研究表明，患者、患者亲属和护士对陪住有积极和消极的体验。陪住的概念从亲属的持续存在和参与到在患者房间内陪住一晚不等。每种解释都对陪住的政策、设计、指南和可行性有其自身的影响。护理人员应参与这一实践的决策过程。
