Beliefs and attitudes of intensive care nurses toward visits and open visiting policy.

Abstract:

OBJECTIVE:To describe the beliefs and attitudes of intensive care unit (ICU) nurses toward visiting, visiting hours, and open visiting policies in critical care settings. DESIGN:A descriptive, cross-sectional, multicenter survey. SETTING:Seventeen hospitals in Flanders (Dutch-speaking Belgium), including 30 ICUs. Sixteen mixed adult medical/surgical ICUs, three medical ICUs, five surgical ICUs, three coronary care units, two post-cardiac surgery ICUs, and one burn unit. PARTICIPANTS:A total of 531 intensive care nurses. MEASUREMENTS AND RESULTS:We devised a questionnaire comprising 20 items assessing beliefs and 14 items assessing attitudes. Nurses indicated their level of agreement for each statement on a five-point rating scale. Nurses believed that open visiting hampers planning of adequate nursing care (75.2%), interferes with direct nursing care (73.8%), and causes nurses to spend more time in providing information to the patients' families (82.3%). The presumed effects of visits on the patients and families were contradictory. Most nurses (75.3%) did not want to liberalize the visiting policy of their unit. CONCLUSIONS:ICU nurses have rather skeptical beliefs and attitudes toward visiting and open visiting policy. This suggests that the culture at Flemish ICUs is not ready for a drastic liberalization of the visiting policy.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Berti D,Ferdinande P,Moons P

doi

10.1007/s00134-007-0599-x

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

1060-5

issue

6

eissn

0342-4642

issn

1432-1238

journal_volume

33

pub_type

杂志文章
  • Association of PEEP with two different inflation volumes in ARDS patients: effects on passive lung deflation and alveolar recruitment.

    abstract:OBJECTIVE:To assess the effects of the association of positive end-expiratory pressure (PEEP) with different inflation volumes (V(T)'s) on passive lung deflation and alveolar recruitment in ARDS patients. DESIGN:Clinical study using PEEP with two different V(T)'s and analyzing whether passive lung deflation and alveol...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340051275

    authors: Chelucci GL,Dall'Ava-Santucci J,Dhainaut JF,Chelucci A,Allegra A,Lockhart A,Zin WA,Milic-Emili J

    更新日期:2000-07-01 00:00:00

  • Plasma levels of the three endothelial-specific proteins von Willebrand factor, tissue factor pathway inhibitor, and thrombomodulin do not predict the development of acute respiratory distress syndrome.

    abstract:OBJECTIVE:To determine if the plasma levels of three endothelial-specific proteins, von Willebrand factor (vWF), tissue factor pathway inhibitor (TFPI) and thrombomodulin (TM) may be useful in predicting the development of acute respiratory distress syndrome (ARDS). DESIGN:Blood samples were obtained from normal healt...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340051054

    authors: Bajaj MS,Tricomi SM

    更新日期:1999-11-01 00:00:00

  • Muscle perfusion and oxygen consumption by near-infrared spectroscopy in septic-shock and non-septic-shock patients.

    abstract:OBJECTIVE:To measure muscle blood flow (Qtis) and oxygen consumption (VO(2)tis) in septic and non-septic critically ill patients by near-infrared spectroscopy (NIRS). SETTING:Surgical intensive care unit of a university hospital. PATIENTS AND PARTICIPANTS:Four patients with septic shock, eight post-surgical criticall...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-003-1805-0

    authors: Girardis M,Rinaldi L,Busani S,Flore I,Mauro S,Pasetto A

    更新日期:2003-07-01 00:00:00

  • Hypertensive crisis immediately after complete removal of phaeochromocytoma.

    abstract::A hypertensive crisis with an arterial blood pressure of 280/180 mmHg developed immediately after an apparently successful removal of a phaeochromocytoma. The blood pressure could not be lowered by phentolamine and not until the administration of dihydralazine and furosemide was the systemic pressure normalized. In ad...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00315379

    authors: Johansson H,Brismar B,Hedenstierna G

    更新日期:1986-01-01 00:00:00

  • Soluble selectins in the pulmonary and systemic circulation in acute cardiogenic and non-cardiogenic pulmonary failure.

    abstract:OBJECTIVE:Pulmonary endothelial activation caused by high pulmonary capillary pressures may be involved in the pathogenesis of cardiogenic pulmonary edema (CPE). We studied soluble selectins and soluble ICAM-1 as markers of cell activation in the systemic and pulmonary circulation of patients with respiratory failure (...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340000843

    authors: Geppert A,Zorn G,Heinz G,Huber K,Siostrzonek P

    更新日期:2001-03-01 00:00:00

  • Monitoring lung mechanics and airway pressures during differential lung ventilation (DLV) with emphasis on weaning from DLV.

    abstract::Fifteen polytrauma patients with asymmetric pulmonary contusion were treated with differential lung ventilation (DLV) for a mean of 106 hours (range 24-298, median 83). The differential time constant (Tc), compliance (Ct), inspiratory and expiratory airway resistance (Rawinsp, Rawexp) and peak-airway pressure (Pawpeak...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00255602

    authors: Zandstra DF,Stoutenbeek CP,Bams JL

    更新日期:1989-01-01 00:00:00

  • Serum procalcitonin measurement contribution to the early diagnosis of candidemia in critically ill patients.

    abstract:BACKGROUND:Candidemia is a life-threatening infection in the ICU whose prognosis is highly dependent on the stage at which it is recognized. Procalcitonin (PCT) levels have been shown to accurately distinguish between bacteremia and noninfectious inflammatory states in critically ill patients with clinical signs of sep...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-006-0306-3

    authors: Charles PE,Dalle F,Aho S,Quenot JP,Doise JM,Aube H,Olsson NO,Blettery B

    更新日期:2006-10-01 00:00:00

  • Rapid diagnosis of alcoholic ketoacidosis by proton NMR.

    abstract::In alcoholic patients, metabolic acidosis can be related to lactate acidosis associated with sepsis or thiamine deficiency, ketoacidosis, methanol or ethylene glycol poisoning. High resolution proton nuclear magnetic resonance (NMR) can be used to detect abnormal organic acid metabolites in urine or serum from patient...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340100892

    authors: Godet C,Hira M,Adoun M,Eugène M,Robert R

    更新日期:2001-04-01 00:00:00

  • Critical illness onychomadesis.

    abstract:OBJECTIVE:To present our observation of the development of a rare nail deformity in the prolonged course of disease of a critically ill patient with a pulmonary abscess. DESIGN:Case report. SETTING:Tertiary referral, 16-bed, level I surgical ICU in an academic hospital. PATIENT:A 48-year-old Caucasian male was treat...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340000679

    authors: Wester JP,van Eps RS,Stouthamer A,Girbes AR

    更新日期:2000-11-01 00:00:00

  • Ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure: a systematic review and meta-analysis.

    abstract:PURPOSE:To evaluate the diagnostic accuracy of ultrasonography of optic nerve sheath diameter (ONSD) for assessment of intracranial hypertension. METHODS:Systematic review without language restriction based on electronic databases, with manual review of literature and conference proceedings until July 2010. Studies we...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00134-011-2224-2

    authors: Dubourg J,Javouhey E,Geeraerts T,Messerer M,Kassai B

    更新日期:2011-07-01 00:00:00

  • Suctioning through a double-lumen endotracheal tube helps to prevent alveolar collapse and to preserve ventilation.

    abstract:OBJECTIVE:Endotracheal suctioning can cause alveolar collapse and impede ventilation. One reason is the gas flow through a single-lumen endotracheal tube (ETT) provoking a gradient between airway opening and tracheal (P(tr)) pressures. Separately extending the patient tubing limbs of a suitable ventilator into the trac...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-004-2537-5

    authors: Reissmann H,Böhm SH,Suárez-Sipmann F,Tusman G,Buschmann C,Maisch S,Pesch T,Thamm O,Plümers C,Schulte am Esch J,Hedenstierna G

    更新日期:2005-03-01 00:00:00

  • Bioimpedance versus thermodilution cardiac output measurement: the Bomed NCCOM3 after coronary bypass surgery.

    abstract::Values obtained for cardiac output (CO) were compared using thermodilution (TD) with those obtained using bioimpedance (Bi) as measured using the Bomed NCCOM3 (Revision 6) in 28 consecutive patients in the first 24 h after coronary artery bypass surgery (CABS). In 46 paired measurements made in the first 12 h after CA...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01720674

    authors: Thomas AN,Ryan J,Doran BR,Pollard BJ

    更新日期:1991-01-01 00:00:00

  • Effect of ventilation with positive end-expiratory pressure on the development of lung damage in experimental acid aspiration pneumonia in the rabbit.

    abstract::Sixteen anaesthetized rabbits were subjected to tracheostomy and lung damage produced by the instillation of 4.5 ml/kg hydrochloric acid (pH 1.5) into the trachea. Half of the animals were ventilated with a positive end-expiratory pressure (PEEP) of 3 cmH2O and half with a PEEP of 10 cmH2O for 5 h, the mean airway pre...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01705044

    authors: Sohma A,Brampton WJ,Dunnill MS,Sykes MK

    更新日期:1992-01-01 00:00:00

  • The European Union Directive and the protection of incapacitated subjects in research: an ethical analysis.

    abstract:OBJECTIVE:We perform an ethical analysis of European Union Directive 2001/20/EC on the simplification and harmonization of guidelines regarding good clinical practice in the conduct of clinical trials involving drugs. BACKGROUND:The Directive provides guidance on protecting incapacitated subjects who participate in dr...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-004-2367-5

    authors: Silverman HJ,Druml C,Lemaire F,Nelson R,European Union Directive.

    更新日期:2004-09-01 00:00:00

  • Diagnostic accuracy of Doppler renal resistive index for reversibility of acute kidney injury in critically ill patients.

    abstract:OBJECTIVES:Diagnosing persistent acute kidney injury (AKI) as opposed to transient AKI in critically ill patients may help physicians in making treatment decisions. This diagnosis relies chiefly on urinary indices, which may be of limited value or difficult to obtain. We assessed the performance of the Doppler renal re...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-010-2050-y

    authors: Darmon M,Schortgen F,Vargas F,Liazydi A,Schlemmer B,Brun-Buisson C,Brochard L

    更新日期:2011-01-01 00:00:00

  • Alternative modes of ventilation. Part I. Disadvantages of controlled mechanical ventilation: intermittent mandatory ventilation.

    abstract::Controlled mechanical ventilation is an accepted therapy for acute respiratory failure but by virtue of the increase in intrathoracic pressure has a large number of disadvantages. It is to overcome these disadvantages that alternative modes of ventilation have been introduced. These aim to reduce the effects of abnorm...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF00254773

    authors: Willatts SM

    更新日期:1985-01-01 00:00:00

  • Interferon gamma in trauma-related infections.

    abstract:OBJECTIVE:The efficacy of interferon gamma therapy in reducing infection and improving outcome from infection in patients sustaining major injury was examined. DESIGN:Randomized double-blind placebo control trial SETTING:Nine level one university affiliated trauma centers in the United States. PATIENTS AND PARTICIPA...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1007/BF01743725

    authors: Dries DJ

    更新日期:1996-10-01 00:00:00

  • Relation between indocyanine green (ICG) plasma disappearance rate and ICG blood clearance in critically ill patients.

    abstract:OBJECTIVE:In contrast to indocyanine green (ICG) blood clearance, the plasma disappearance rate (PDR) of ICG does not require absolute ICG blood concentrations and today can be assessed transcutaneously. In this study, we analyzed the relation between ICG disappearance rate and ICG blood clearance as parameters of live...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-006-0109-6

    authors: Sakka SG,van Hout N

    更新日期:2006-05-01 00:00:00

  • Infant lung function testing in the intensive care unit.

    abstract::As a result of the previous shortage of tools to assess objectively the overall physiological status of the respiratory system in infants and young children, it has been difficult to measure the degree of physiological disorder or the response to therapy in respiratory diseases such as BPD, the pediatric version of AR...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF01704742

    authors: Hammer J,Newth CJ

    更新日期:1995-09-01 00:00:00

  • Thoracic ultrasonography: a narrative review.

    abstract::This narrative review focuses on thoracic ultrasonography (lung and pleural) with the aim of outlining its utility for the critical care clinician. The article summarizes the applications of thoracic ultrasonography for the evaluation and management of pneumothorax, pleural effusion, acute dyspnea, pulmonary edema, pu...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-019-05725-8

    authors: Mayo PH,Copetti R,Feller-Kopman D,Mathis G,Maury E,Mongodi S,Mojoli F,Volpicelli G,Zanobetti M

    更新日期:2019-09-01 00:00:00

  • Microalbuminuria does not reflect increased systemic capillary permeability in septic shock.

    abstract:OBJECTIVE:To investigate the correlation between microalbuminuria and extravascular lung water in patients in septic shock who require mechanical ventilation for severe respiratory failure. DESIGN AND SETTING:Prospective, observational, clinical study in the 20-bed intensive care unit of a university hospital. PATIEN...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-003-1651-0

    authors: Molnár Z,Szakmány T,Heigl P

    更新日期:2003-03-01 00:00:00

  • Evaluation of trauma care: validation of the TRISS method in an Italian ICU.

    abstract:OBJECTIVE:To validate the TRISS method as an audit system on a group of patients with severe trauma admitted to an Italian general intensive care unit (ICU). DESIGN:Prospective, cohort study of consecutive admissions to the ICU. SETTING:A 6-bed general ICU in a 500-bed general hospital. PATIENTS:190 patients with se...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF02044120

    authors: Corbanese U,Possamai C,Casagrande L,Bordino P

    更新日期:1996-09-01 00:00:00

  • Apoptosis inhibition in P. aeruginosa-induced lung injury influences lung fluid balance.

    abstract:OBJECTIVE:Pseudomonas aeruginosa-induced lung injury is characterized not only by the alteration in lung fluid movement but also by apoptosis of lung epithelial and endothelial cells. We studied whether inhibition of apoptosis using a broad spectrum caspase inhibitor, benzyloxycarbonyl-Val-Ala-Asp fluoromethylketone (Z...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-004-2165-0

    authors: Le Berre R,Faure K,Fauvel H,Viget NB,Ader F,Prangère T,Thomas AM,Leroy X,Pittet JF,Marchetti P,Guery BP

    更新日期:2004-06-01 00:00:00

  • Effects of levosimendan and dobutamine in experimental acute endotoxemia: a preliminary controlled study.

    abstract:OBJECTIVE:To test the hypothesis that levosimendan increases systemic and intestinal oxygen delivery (DO(2)) and prevents intramucosal acidosis in septic shock. DESIGN:Prospective, controlled experimental study. SETTING:University-based research laboratory. SUBJECTS:Nineteen anesthetized, mechanically ventilated she...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-006-0519-5

    authors: Dubin A,Murias G,Sottile JP,Pozo MO,Barán M,Edul VS,Canales HS,Etcheverry G,Maskin B,Estenssoro E

    更新日期:2007-03-01 00:00:00

  • Increased RNA editing in children with cyanotic congenital heart disease.

    abstract:PURPOSE:To test the hypothesis that RNA editing is altered in pediatric patients with cyanotic congenital heart disease (CHD) and to determine whether A-to-I RNA editing is associated with the postoperative course following cardiac surgery. Cyanotic CHD is associated with a unique pathophysiology caused by chronic hypo...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-011-2296-z

    authors: Borik S,Simon AJ,Nevo-Caspi Y,Mishali D,Amariglio N,Rechavi G,Paret G

    更新日期:2011-10-01 00:00:00

  • Studies on drug monitoring in thrice and once daily treatment with aminoglycosides.

    abstract:OBJECTIVES:To investigate at what time the peak level should be determined under conventional thrice daily (t.i.d.) administration of the aminoglycoside netilmicin and to study its serum concentrations under once daily (od) treatment to define the required daily dose and to gain information about convenient drug monito...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01694773

    authors: Konrad F,Wagner R,Neumeister B,Rommel H,Georgieff M

    更新日期:1993-01-01 00:00:00

  • Quinine-induced disseminated intravascular coagulation: case report and review of the literature.

    abstract:OBJECTIVE:To describe the clinical course of quinine-induced disseminated intravascular coagulation (DIC) and review all previous cases reported in the medical literature. DESIGN:Case report/literature review. SETTING:University teaching hospital medical ICU. PATIENTS:One patient in whom thrombocytopenia, coagulopat...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-003-1732-0

    authors: Knower MT,Bowton DL,Owen J,Dunagan DP

    更新日期:2003-06-01 00:00:00

  • The increase in CO2 production induced by NaHCO3 depends on blood albumin and hemoglobin concentrations.

    abstract:OBJECTIVE:To evaluate the origin of H+ ions participating in the generation of CO2 coming from sodium bicarbonate infusion during metabolic acidosis. We hypothesized that these H+ ions come from a back-titration of the main non-bicarbonate buffers present in the blood, i. e. the hemoglobin and the albumin, and thus pos...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340051204

    authors: Levraut J,Garcia P,Giunti C,Ichai C,Bouregba M,Ciebiera JP,Payan P,Grimaud D

    更新日期:2000-05-01 00:00:00

  • Intravenous fish oil blunts the physiological response to endotoxin in healthy subjects.

    abstract:OBJECTIVE:To assess the effects of intravenous fish oil fat emulsion on the metabolic alterations induced by lipopolysaccharide (LPS) challenge in healthy volunteers. DESIGN:Two groups of eight healthy subjects were randomized to receive either two pharmacological doses of intravenous FO fat emulsion or no treatment. ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00134-007-0591-5

    authors: Pluess TT,Hayoz D,Berger MM,Tappy L,Revelly JP,Michaeli B,Carpentier YA,Chioléro RL

    更新日期:2007-05-01 00:00:00

  • Preliminary results on nursing workload in a dedicated weaning center.

    abstract:OBJECTIVE:To evaluate the nursing time required for difficult-to-wean patients in a dedicated weaning center (WC) and to examine the correlation of the nursing time with nursing workload (NW) scores and with clinical severity and dependency. SETTING:Four-bed WC of a pulmonary rehabilitation department. INTERVENTION:N...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340051249

    authors: Vitacca M,Clini E,Porta R,Ambrosino N

    更新日期:2000-06-01 00:00:00