Normal view MARC view ISBD view

Visitation restriction and decision making: Healthcare surrogate experiences.

MedStar author(s):

Citation: Patient Education & Counseling. 115:107884, 2023 Jul 06.PMID: 37454476Institution: MedStar Washington Hospital CenterDepartment: Medicine/Palliative CareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXED | Year: 2023 ISSN:

0738-3991

Name of journal: Patient education and counselingAbstract: CONCLUSION: From the point of view of healthcare surrogates, visitation restriction disrupted the normal process of decision-making by impeding important healing and grief rituals, and making connection difficult, despite policies and technology that was meant to assist.METHODS: Thematic analysis of semi-structured interviews of people who served as healthcare surrogates for patients admitted to the intensive care unit with a palliative care consultation in January of 2021 at a large tertiary care hospital.OBJECTIVES: We sought to discover whether hospital visitation restrictions imposed during COVID, and remaining at some institutions, influenced surrogate decision-making.PRACTICE IMPLICATIONS: Visitation restriction carries risk such as delaying decision-making and the perceived healing benefits of visitation. Copyright © 2023 Elsevier B.V. All rights reserved.RESULTS: Thirteen healthcare surrogates agreed to be interviewed out of the fifty-six who were identified and invited to participate. The following themes emerged: 1) Decision-making was delayed as surrogates desire to make decisions in conjunction with the patient; 2) visitation restriction disrupted processes of grief and end-of-life rituals; 3) it prevented healing that occurs with closeness to loved ones; 4) visitation permission was poorly communicated and inconsistent; 5) virtual connection was inconsistent and proved ineffective in context; 6) communication was often stressful and confusing.All authors: Laing N, Pham A, Pottash M, Rana RFiscal year: FY2024 Digital Object Identifier:

https://dx.doi.org/10.1016/j.pec.2023.107884

Date added to catalog: 2023-08-15

Holdings ( 0 )
Title notes ( 6 )

No physical items for this record

CONCLUSION: From the point of view of healthcare surrogates, visitation restriction disrupted the normal process of decision-making by impeding important healing and grief rituals, and making connection difficult, despite policies and technology that was meant to assist.

METHODS: Thematic analysis of semi-structured interviews of people who served as healthcare surrogates for patients admitted to the intensive care unit with a palliative care consultation in January of 2021 at a large tertiary care hospital.

OBJECTIVES: We sought to discover whether hospital visitation restrictions imposed during COVID, and remaining at some institutions, influenced surrogate decision-making.

RESULTS: Thirteen healthcare surrogates agreed to be interviewed out of the fifty-six who were identified and invited to participate. The following themes emerged: 1) Decision-making was delayed as surrogates desire to make decisions in conjunction with the patient; 2) visitation restriction disrupted processes of grief and end-of-life rituals; 3) it prevented healing that occurs with closeness to loved ones; 4) visitation permission was poorly communicated and inconsistent; 5) virtual connection was inconsistent and proved ineffective in context; 6) communication was often stressful and confusing.

English