Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto (UP), 4050-313 Porto, Portugal.
CINTESIS (Centro de Investigação em Tecnologias e Serviços de Saúde)-NursID (Innovation & Development in Nursing), 4050-313 Porto, Portugal.
Int J Environ Res Public Health. 2022 Jul 24;19(15):8991. doi: 10.3390/ijerph19158991.
In response to the COVID-19 pandemic, several measures were taken to prevent the transmission of infection in the hospital environment, including the restriction of visits. Little is known about the consequences of these directives, but it is expected that they will have various implications. Thus, this study aimed to understand the consequences of measures to restrict visits to hospitalized individuals.
A qualitative interpretive study was conducted through semistructured interviews with 10 nurses chosen by convenience. Content analysis was performed using Atlas.ti software, version 22 (Berlin, Germany).
Twenty-two categories and eight subcategories were identified and grouped according to their scope: implications for the patient, implications for the family, and implications for care practice.
The identified categories of implications of restricting hospital visits (implications for patients, relatives, and care practices) are incomparably more negative than positive and have a strong potential to cause safety events in the short to long term, also jeopardizing the quality of care. There is the risk of stagnation and even setback due to this removal of families from the hospital environment, not only in terms of safety and quality of care but also with regard to person- and family-centered care.
为应对 COVID-19 大流行，采取了多项措施来防止医院环境中的感染传播，包括限制探视。这些指令的后果知之甚少，但预计会产生各种影响。因此，本研究旨在了解限制住院患者探视的措施的后果。
通过方便选择的 10 名护士进行了定性解释性研究，进行了半结构式访谈。使用 Atlas.ti 软件，版本 22（德国柏林）进行内容分析。
确定了 22 个类别和 8 个子类别，并根据其范围进行了分组：对患者的影响、对家庭的影响和对护理实践的影响。
限制医院探视的影响类别（对患者、家属和护理实践的影响）的负面影响明显大于正面影响，具有在短期到长期内引发安全事件的强大潜力，也危及护理质量。由于将家属从医院环境中移除，不仅在安全性和护理质量方面，而且在以患者和家庭为中心的护理方面，都存在停滞甚至倒退的风险。
