Abdalla Rawia Ahmad, Alhalabi Samer Nabil, Alotaibi Shabab Shail, Omran Maryam Omar, Abdulbari Tareq Jamal, Faddoul Ramona Raymond, Elkouwatly Iman Bachir
Saudi German Health, Jeddah, Saudi Arabia.
Saudi German Hospital Riyadh, Riyadh, Saudi Arabia.
Nurs Crit Care. 2025 Jul;30(4):e70110. doi: 10.1111/nicc.70110.
Family involvement in intensive care unit (ICU) and coronary care unit (CCU) care, supported by open visitation policies, is beneficial for patient outcomes. However, concerns about the impact on nursing care, patient safety and workflow lead to varying beliefs and attitudes among nurses.
This study aimed to assess nurses' beliefs and attitudes towards visitation in ICUs and CCUs and identify demographic factors associated with these attitudes.
A cross-sectional study was conducted in a Saudi healthcare system, involving eight hospitals. Between July and August 2023, a convenience sample of nurses completed the Beliefs and Attitudes towards Visitation in ICU Questionnaire (BAVIQ). Descriptive statistics were used to describe demographic factors, and Pearson's correlations and multivariable linear regression analyses examined associations between demographic variables and nurses' beliefs and attitudes.
A total of 265 nurses participated (66% response rate). The mean scores for nurses' beliefs and attitudes were 1.86 (SD = 0.44) and 1.99 (SD = 0.61), respectively, on a 5-point Likert scale (0-4). Regression analysis showed a significant positive association between beliefs and attitudes (β = 0.310, 95% CI: 0.143 to 0.477, p < 0.001). Working in ICU or CCU (β = -0.206, 95% CI: -0.334 to -0.079, p = 0.002) and nationality (β = 0.157, 95% CI: 0.014 to 0.299, p = 0.032) were associated with nurses' beliefs, while higher educational levels (β = -0.169, 95% CI: -0.335 to -0.003, p = 0.046) were negatively associated with nurses' attitudes.
Nurses held low to moderate levels of belief and attitudes towards open visitation in ICUs. Factors like ICU or CCU experience and education level were negatively associated with these beliefs and attitudes. Interventions to increase nurses' understanding of open visitation's benefits are recommended to improve the acceptance of such policies.
This study highlights the need to address nurses' concerns about open visitation policies in ICUs and CCUs, focusing on the impact on nursing care, patients' privacy and workflow efficiency.
在开放探视政策的支持下，家庭参与重症监护病房（ICU）和冠心病监护病房（CCU）的护理对患者的治疗结果有益。然而，对护理、患者安全和工作流程影响的担忧导致护士们存在不同的信念和态度。
本研究旨在评估护士对ICU和CCU探视的信念和态度，并确定与这些态度相关的人口统计学因素。
在沙特的一个医疗系统中进行了一项横断面研究，涉及八家医院。2023年7月至8月期间，抽取了一个方便样本的护士完成了《ICU探视信念与态度问卷》（BAVIQ）。描述性统计用于描述人口统计学因素，Pearson相关性分析和多变量线性回归分析检验了人口统计学变量与护士信念和态度之间的关联。
共有265名护士参与（回复率66%）。在5分李克特量表（0 - 4）上，护士信念和态度的平均得分分别为1.86（标准差 = 0.44）和1.99（标准差 = 0.61）。回归分析显示信念和态度之间存在显著正相关（β = 0.310，95%置信区间：0.143至0.477，p < 0.001）。在ICU或CCU工作（β = -0.206，95%置信区间：-0.334至-0.079，p = 0.002）和国籍（β = 0.157，95%置信区间：0.014至0.299，p = 0.032）与护士的信念相关，而较高的教育水平（β = -0.169，95%置信区间：-0.335至-0.003，p = 0.046）与护士的态度呈负相关。
护士对ICU开放探视的信念和态度处于低到中等水平。ICU或CCU工作经验以及教育水平等因素与这些信念和态度呈负相关。建议采取干预措施，增强护士对开放探视益处的理解，以提高对这类政策的接受度。
本研究强调了有必要解决护士对ICU和CCU开放探视政策的担忧，重点关注对护理、患者隐私和工作流程效率的影响。
