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Obstacles and facilitators of open visiting policy in Intensive Care Units: A qualitative study

Authors: Shiva Khaleghparast, Soodabeh Joolaee, Majid Maleki, Hamid Peyrovi, Behrooz Ghanbari and Naser Bahrani

Int J Med Res Health Sci.452-456 | pdf PDF Full Text

ABSTRACT
Open visiting policy in intensive care units is proposed as an essential requirement for patients and their families,
so this study is aimed to explain open visiting policy obstacles and facilitators from patients, families and health
team members’ viewpoint. This qualitative study implemented in intensive care units of a hospital specialized in
cardiology in Tehran-Iran. Patients’, families’, nurses’, doctors’ and guards’ viewpoint was determined regarding
open visiting policy obstacles and facilitators by semi-structured interviews. Data analysis method was conventional
approach of qualitative content analysis with thematic technique. Data analysis was performed using Max QDA10
software. Two main categories of data regarding open visiting obstacles and facilitators were extracted. Factors
related to service systems and visitors derived from open visiting obstacles, and factors related to management
system and personnel derived from open visiting facilitators. One of the most important obstacles of open visiting
policy implementation is shortage of staff and personnel negative attitude. Regarding open visiting policy
facilitators, designing visiting cards for close family and observing specific rules, modification of intensive care unit
structure and facilities for families are useful. Finally, what is important as an open visiting policy implementation
facilitator is presence of nursing profession as a humanitarian and ethical profession.
Key words: Intensive Care Units, Open visiting policy, Visitation policy

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