Intensive care unit visiting and family communication during the COVID-19 pandemic: a UK survey.
Boulton, Adam J Jordan, Helen Adams, Claire E Polgarova, Petra Morris, Andrew Conway Arora, Nitin
Boulton, Adam J
Jordan, Helen
Adams, Claire E
Polgarova, Petra
Morris, Andrew Conway
Arora, Nitin
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06/04/2021
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Abstract
ackground: Frequent visiting and communication with patients' families are embedded within normal ICU practice, however the COVID-19 pandemic has challenged this, and it is unclear how ICUs are managing. We aimed to investigate how NHS ICUs are approaching family communications and visiting during the COVID-19 pandemic.
Methods: An electronic snapshot survey was delivered between 16th April and 4th May 2020 and was open to NHS ICUs. Replies from 134 individual ICUs with COVID patients were included.
Results: All reported that visiting was more restricted than normal with 29 (22%) not allowing any visitors, 71 (53%) allowing visitors at the end of a patient's life (EOL) only, and 30 (22%) allowing visitors for vulnerable patients or EOL. Nearly all (n = 130, 97%) were updating families daily, with most initiating the update (n = 120, 92%). Daily telephone calls were routinely made by the medical (n = 75, 55%) or nursing team (n = 50, 37%). Video calling was used by 63 (47%), and 39 (29%) ICUs had developed a dedicated family communication team. Resuscitation and EOL discussions were most frequently via telephone (n = 129, 96%), with 24 (18%) having used video calling, and 15 (11%) reporting discussions had occurred in person. Clinicians expressed their dissatisfaction with the situation and raised concerns about the detrimental effect on patients, families, and staff.
Conclusions: COVID-19 has resulted in significant changes across NHS ICUs in how they interact with families. Many units are adapting and moving toward distant and technology-assisted communication. Despite innovative solutions, challenges remain and there may be a role for local and national guidance.
Citation
Boulton AJ, Jordan H, Adams CE, Polgarova P; TRIC Network (Corporate Author), WMTRAIN (Corporate Author); Morris AC, Arora N. Intensive care unit visiting and family communication during the COVID-19 pandemic: A UK survey. J Intensive Care Soc. 2022 Aug;23(3):293-296. doi: 10.1177/17511437211007779. Epub 2021 Apr 6
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