Visiting Policies and Parental Presence During PICU Admission: A Survey in French Units.

Autor:	Bergerat M; Réanimation et surveillance continue medico-chirurgicales pédiatriques, AP-HP, Hôpital Necker Enfants Malades, Université de Paris, Paris, France., De Saint Blanquat L; Réanimation et surveillance continue medico-chirurgicales pédiatriques, AP-HP, Hôpital Necker Enfants Malades, Université de Paris, Paris, France., Milesi C; Réanimation pédiatrique, Centre Hospitalier Régional Universitaire Montpellier, Montpellier, France., Grimaud M; Réanimation et surveillance continue medico-chirurgicales pédiatriques, AP-HP, Hôpital Necker Enfants Malades, Université de Paris, Paris, France., Le Bourgeois F; Réanimation médico-chirurgicale pédiatrique, AP-HP, Hôpital Robert Debré, Université de Paris, Paris, France., Renolleau S; Réanimation et surveillance continue medico-chirurgicales pédiatriques, AP-HP, Hôpital Necker Enfants Malades, Université de Paris, Paris, France., Pouletty M; Réanimation et surveillance continue medico-chirurgicales pédiatriques, AP-HP, Hôpital Necker Enfants Malades, Université de Paris, Paris, France., Oualha M; Réanimation et surveillance continue medico-chirurgicales pédiatriques, AP-HP, Hôpital Necker Enfants Malades, Université de Paris, Paris, France.; EA7323 pharmacologie et évaluation des thérapeutiques chez l'enfant et la femme enceinte, Université de Paris, Paris, France., Leteurtre S; Univ. Lille, CHU Lille, ULR 2694-METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, France., Recher M; Univ. Lille, CHU Lille, ULR 2694-METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, France., Béranger A; EA7323 pharmacologie et évaluation des thérapeutiques chez l'enfant et la femme enceinte, Université de Paris, Paris, France.; Réanimation chirurgicale cardiaque pédiatrique, AP-HP, Hôpital Necker Enfants Malades, Université de Paris, Paris, France.
Jazyk:	angličtina
Zdroj:	Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies [Pediatr Crit Care Med] 2023 Oct 01; Vol. 24 (10), pp. e498-e504. Date of Electronic Publication: 2023 May 23.
DOI:	10.1097/PCC.0000000000003284
Abstrakt:	Objectives: To describe the policies about parent visiting and involvement in care during admission to French PICUs. Design: A structured questionnaire was emailed to the chief of each of 35 French PICUs. Data about visiting policies, involvement in care, evolution of policies, and general characteristics were collected from April 2021 to May 2021. A descriptive analysis was conducted. Setting: Thirty-five PICUs in France. Patients: None. Interventions: None. Measurements and Main Results: Twenty-nine of 35 (83%) PICUs replied. Twenty-four-hour access for parents was reported for all PICUs responding. Other allowed visitors were grandparents (21/29, 72%) and siblings (19/29, 66%) with professional support. Simultaneous visits were restricted to two visitors in 83% (24/29) of PICUs. Family presence was always permitted during medical rounds for 20 of 29 (69%) PICUs. Most of the units rarely or never allowed parental presence during the most invasive procedures, such as central venous catheter placement (18/29, 62%) and intubation (22/29, 76%). Conclusions: Unrestricted access to the PICU, for both parents, was available in all responding French units. There were, however, restrictions on the number of visitors and the presence of other family members at the bedside. Moreover, permission for parental presence during care procedures was heterogenous, and mainly restricted. National guidelines and educational programs are needed to support family wishes and promote acceptance by healthcare providers in French PICUs. Competing Interests: The authors have disclosed that they do not have any potential conflicts of interest. (Copyright © 2023 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.)
Databáze:	MEDLINE
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