THE PRACTICES AND BARRIERS TO ADULT VISITING IN INTENSIVE CARE UNITS: AN INTEGRATED REVIEW

In the intensive care unit, critical patients are admitted to care. The family visits
in these units are different from other units. Different hospitals impose restrictive regulations or even
prohibitions for visiting or the form and type of visitings are different. These restrictive visitings can be
stressful for the patient and family and they may have consequences. The reasons for these special
regulations are different, but they are not known and well-defined. The aim of this study was to
investigate the practices and barriers of visiting in adult intensive care units.
Materials & Methods: This study is an integrated review of texts related to the methods and barriers for
visiting the adult intensive care units. Studies in CINAHL, Medline, Scopus, Cochrane Database of
Systematic Reviews, IranMedex, Scientific Information Database (SID), and Google Scholar databases
were reviewed from 1990 to 2017. During the search, 51 articles, 1 dissertation and one book in this
field were reviewed and selected. Data analysis was performed using Russell's (2005) method.
Results: Analysis of the data showed that there are four methods of visiting in the intensive care units:
restricted, open, liberalized, and according to the patient's preferences. There were various barriers to
visiting in the intensive care units, the most important of which is the belief that the staff has a negative
experience in the field of visiting and they believe that it is not beneficial for the patient. Some of the
negative beliefs that were mentioned in most studies are increased risk of infection, interference with
treatment and care, increased psychological and physiological stress, and patient and family fatigue.
Conclusion: The choice of method or type of visiting in the intensive care units is influenced by the
assumed, experienced or subjective obstacles of personnel and managers. Given that one of the main
barriers to visiting is the negative beliefs regarding visits to the intensive care unit, it is recommended
that appropriate training be provided for ICU staff in order to modify their beliefs regarding patient
visits