Family support in intensive care units during COVID-19 visit ban: A multinational Delphi Study during first COVID-19 wave

doi:10.1016/j.iccn.2022.103308

. 2023 Feb:74:103308.

doi: 10.1016/j.iccn.2022.103308. Epub 2022 Aug 2.

Family support in intensive care units during COVID-19 visit ban: A multinational Delphi Study during first COVID-19 wave

Marie-Madlen Jeitziner¹, Béatrice Jenni-Moser², Bjoern Zante³, Katja Erne⁴, Maria Brauchle⁵, Sarah A Moser⁶, Joerg C Schefold⁷, Karin Amrein⁸, Magdalena Hoffmann⁹

Affiliations

¹ Department of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland; Institute of Nursing Science (INS), Department of Public Health (DPH), Faculty of Medicine, University of Basel, Basel, Switzerland. Electronic address: marie-madlen.jeitziner@insel.ch.
² Department of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland. Electronic address: beatrice.Jenni@insel.ch.
³ Department of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland. Electronic address: bjoern.zante@insel.ch.
⁴ Department of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland. Electronic address: erne.katja@bluewin.ch.
⁵ Department for Anesthesia and Intensive Care Medicine, Landeskrankenhaus Feldkirch, Feldkirch, Austria. Electronic address: maria.brauchle@lkhf.at.
⁶ Department of Cardiovascular Surgery, University Hospital Bern, Bern, Switzerland. Electronic address: sarahanna.moser@insel.ch.
⁷ Department of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland. Electronic address: joerg.schefold@insel.ch.
⁸ Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria. Electronic address: karin.amrein@medunigraz.at.
⁹ Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria; Research Unit for Safety in Health, c/o Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria; Executive Department for Quality and Risk Management, University Hospital Graz, Graz, Austria. Electronic address: magdalena.hoffmann@medunigraz.at.

PMID: 35985909
PMCID: PMC9343738
DOI: 10.1016/j.iccn.2022.103308

Family support in intensive care units during COVID-19 visit ban: A multinational Delphi Study during first COVID-19 wave

Marie-Madlen Jeitziner et al. Intensive Crit Care Nurs. 2023 Feb.

. 2023 Feb:74:103308.

doi: 10.1016/j.iccn.2022.103308. Epub 2022 Aug 2.

Authors

Marie-Madlen Jeitziner¹, Béatrice Jenni-Moser², Bjoern Zante³, Katja Erne⁴, Maria Brauchle⁵, Sarah A Moser⁶, Joerg C Schefold⁷, Karin Amrein⁸, Magdalena Hoffmann⁹

Affiliations

¹ Department of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland; Institute of Nursing Science (INS), Department of Public Health (DPH), Faculty of Medicine, University of Basel, Basel, Switzerland. Electronic address: marie-madlen.jeitziner@insel.ch.
² Department of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland. Electronic address: beatrice.Jenni@insel.ch.
³ Department of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland. Electronic address: bjoern.zante@insel.ch.
⁴ Department of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland. Electronic address: erne.katja@bluewin.ch.
⁵ Department for Anesthesia and Intensive Care Medicine, Landeskrankenhaus Feldkirch, Feldkirch, Austria. Electronic address: maria.brauchle@lkhf.at.
⁶ Department of Cardiovascular Surgery, University Hospital Bern, Bern, Switzerland. Electronic address: sarahanna.moser@insel.ch.
⁷ Department of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland. Electronic address: joerg.schefold@insel.ch.
⁸ Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria. Electronic address: karin.amrein@medunigraz.at.
⁹ Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria; Research Unit for Safety in Health, c/o Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria; Executive Department for Quality and Risk Management, University Hospital Graz, Graz, Austria. Electronic address: magdalena.hoffmann@medunigraz.at.

PMID: 35985909
PMCID: PMC9343738
DOI: 10.1016/j.iccn.2022.103308

Abstract

Objectives: This study assessed opinions and experiences of healthcare professionals, former patients and family members during the first wave of the COVID-19 pandemic and focuses on challenges in family-centred care for intensive care unit patients and affected families.

Research methodology/design: A two-round modified Delphi process assessed the opinions and experiences of experts such as healthcare professionals, former patients and their families (n = 151).

Setting: This study was conducted across four countries in Europe.

Results: In total, 121 participants (response rate 80.13%) answered the first Delphi round; the second was answered by 131 participants (response rate 86.75%). Participants perceived family support in the intensive care unit as highly important during the COVID-19 pandemic. Enabling contact amongst patients, families and clinicians is regarded as essential to build hope and confidence in the treatment and the recovery process. The extraordinary situation led to the implementation of new communication structures such as video calls and websites.

Conclusion: A consensus was reached between healthcare professionals that virtual contact is essential for patients with COVID-19 and their families during visit restrictions. This should be done to establish confidence in the treatment.

Keywords: COVID-19; Communication; Critical care; Family; Isolation; Visiting ban.

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Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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References

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[1] Aziz S., Arabi Y.M., Alhazzani W., Evans L., Citerio G., Fischkoff K., Salluh J., Meyfroidt G., Alshamsi F., Oczkowski S., Azoulay E., Price A., Burry L., Dzierba A., Benintende A., Morgan J., Grasselli G., Rhodes A., Møller M.H., Chu L., Schwedhelm S., Lowe J.J., Bin D.u., Christian M.D. Managing ICU surge during the COVID-19 crisis: rapid guidelines. Intensive Care Med. 2020;46(7):1303–1325. doi: 10.1007/s00134-020-06092-5. - DOI - PMC - PubMed

[2] Aziz S., Arabi Y.M., Alhazzani W., Evans L., Citerio G., Fischkoff K., Salluh J., Meyfroidt G., Alshamsi F., Oczkowski S., Azoulay E., Price A., Burry L., Dzierba A., Benintende A., Morgan J., Grasselli G., Rhodes A., Møller M.H., Chu L., Schwedhelm S., Lowe J.J., Bin D.u., Christian M.D. Managing ICU surge during the COVID-19 crisis: rapid guidelines. Intensive Care Med. 2020;46(7):1303–1325. doi: 10.1007/s00134-020-06092-5. - DOI - PMC - PubMed

[3] Azoulay E., Kentish-Barnes N. A 5-point strategy for improved connection with relatives of critically ill patients with COVID-19. Lancet Respir. Med. 2020;8(6):e52. - PMC - PubMed

[4] Azoulay E., Kentish-Barnes N. A 5-point strategy for improved connection with relatives of critically ill patients with COVID-19. Lancet Respir. Med. 2020;8(6):e52. - PMC - PubMed

[5] Cecconi M., Forni G., Mantovani A. Ten things we learned about COVID-19. Intensive Care Med. 2020;46(8):1590–1593. doi: 10.1007/s00134-020-06140-0. - DOI - PMC - PubMed

[6] Cecconi M., Forni G., Mantovani A. Ten things we learned about COVID-19. Intensive Care Med. 2020;46(8):1590–1593. doi: 10.1007/s00134-020-06140-0. - DOI - PMC - PubMed

[7] Choi J.Y., Campbell M.L., Gélinas C., Happ M.B., Tate J., Chlan L. Symptom assessment in non-vocal or cognitively impaired ICU patients: Implications for practice and future research. Hear. Lung. 2017;46:239–245. doi: 10.1016/J.HRTLNG.2017.04.002. - DOI - PubMed

[8] Choi J.Y., Campbell M.L., Gélinas C., Happ M.B., Tate J., Chlan L. Symptom assessment in non-vocal or cognitively impaired ICU patients: Implications for practice and future research. Hear. Lung. 2017;46:239–245. doi: 10.1016/J.HRTLNG.2017.04.002. - DOI - PubMed

[9] Davidson J.E., Aslakson R.A., Long A.C., Puntillo K.A., Kross E.K., Hart J., Cox C.E., Wunsch H., Wickline M.A., Nunnally M.E., Netzer G., Kentish-Barnes N., Sprung C.L., Hartog C.S., Coombs M., Gerritsen R.T., Hopkins R.O., Franck L.S., Skrobik Y., Kon A.A., Scruth E.A., Harvey M.A., Lewis-Newby M., White D.B., Swoboda S.M., Cooke C.R., Levy M.M., Azoulay E., Curtis J.R. Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. Crit. Care Med. 2017 doi: 10.1097/CCM.0000000000002169. - DOI - PubMed

[10] Davidson J.E., Aslakson R.A., Long A.C., Puntillo K.A., Kross E.K., Hart J., Cox C.E., Wunsch H., Wickline M.A., Nunnally M.E., Netzer G., Kentish-Barnes N., Sprung C.L., Hartog C.S., Coombs M., Gerritsen R.T., Hopkins R.O., Franck L.S., Skrobik Y., Kon A.A., Scruth E.A., Harvey M.A., Lewis-Newby M., White D.B., Swoboda S.M., Cooke C.R., Levy M.M., Azoulay E., Curtis J.R. Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. Crit. Care Med. 2017 doi: 10.1097/CCM.0000000000002169. - DOI - PubMed

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Family support in intensive care units during COVID-19 visit ban: A multinational Delphi Study during first COVID-19 wave

Affiliations

Family support in intensive care units during COVID-19 visit ban: A multinational Delphi Study during first COVID-19 wave

Authors

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Abstract

Conflict of interest statement

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