BACKGROUND::Patients' rights arise from their expectations of the healthcare system, which are rooted in their needs. Visitation is seen as a necessary need for patients and families in intensive care units. OBJECTIVES::The authors attempted to design, implement, and evaluate a new visiting policy in the intensive care units. RESEARCH DESIGN::This study was an action research, including two qualitative and quantitative approaches. PARTICIPANTS AND RESEARCH CONTEXT::The viewpoints of 51 participants (patients, families, doctors, nurses, and guards) on how to change the limited visiting policy were explained through semi-structured interviews and focus groups. The new visiting policy (contractual visitation) was designed, implemented, and evaluated with the involvement of participants. ETHICAL CONSIDERATIONS::The hospital ethics committee approval was gained and the informed consent was obtained from all the participants. FINDINGS::The content of interviews was analyzed and classified into four categories: advantages and disadvantages of visiting policies, and barriers and facilitators of changing the limited visiting policy. After implementation of the new policy (contractual visitation), a significant difference observed in satisfaction status before and after the changes (p value < 0.001). DISCUSSION::Nowadays, many countries' clinical guidelines recommend flexible visiting policy, which is consistent with the results of this study. CONCLUSION::Changing the limited visiting policy was a necessary need for patients and families that established with the involvement of them and staff.

译文

背景:患者的权利源自对医疗系统的期望,这种期望植根于他们的需求。在重症监护病房,探视被视为患者和家庭的必要需求。
目的:作者试图在重症监护病房设计,实施和评估一项新的就诊政策。
研究设计::本研究是一项行动研究,包括定性和定量两种方法。
参与者和研究背景:通过半结构化访谈和焦点小组,对51位参与者(患者,家庭,医生,护士和护卫员)如何更改有限访问政策的观点进行了解释。在参与者的参与下,设计,实施和评估了新的访问政策(合同访问)。
道德考量::获得了医院道德委员会的批准,并获得了所有参与者的知情同意。
结果::访谈的内容被分析并分为四类:访问政策的优缺点,以及限制访问政策的障碍和促进者。实施新政策(合同探望)后,在变更前后的满意度之间存在显着差异(p值<0.001)。
讨论::如今,许多国家/地区的临床指南建议采用灵活的就诊政策,这与本研究的结果一致。
结论::改变有限的就诊政策是患者和家属在他们和员工参与下建立起来的必要需求。

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