A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic

OBJECTIVES:. To create evidence-based consensus statements for restricted ICU visitation policies to support critically ill patients, families, and healthcare professionals during current and future pandemics. DESIGN:. Three rounds of a remote modified Delphi consensus process. SETTING:. Online surv...

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Autores principales:	Kirsten M. Fiest, PhD, Karla D. Krewulak, PhD, Kira Makuk, BHSc, Natalia Jaworska, MD, MSc, Laura Hernández, BA, Sean M. Bagshaw, MD, MSc, Karen E. Burns, MD, MSc, Deborah J. Cook, MD, MSc, Christopher J. Doig, MD, MSc, Alison Fox-Robichaud, MD, MSc, Robert A. Fowler, MD, MSc, Michelle E. Kho, PT, PhD, Ken Kuljit S. Parhar, MD, MSc, Oleksa G. Rewa, MD, MSc, Bram Rochwerg, MD, MSc, Bonnie G. Sept, Andrea Soo, PhD, Sean Spence, MD, Andrew West, EdD, Henry T. Stelfox, MD, PhD, Jeanna Parsons Leigh, PhD, for the Canadian Critical Care Trials Group, Kusum Menon, Vazquez Grande, Mark Duffet, Jennifer Foster, Dominique Piquette, Nicole Zytaruk, Sylvie Debigaré, Srinivas Murthy, Danaë Tassy, Sangeeta Mehta
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/d867bbdf38ba44d0b8f52802b4b0a72e
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spelling	oai:doaj.org-article:d867bbdf38ba44d0b8f52802b4b0a72e2021-11-25T07:56:43ZA Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic2639-802810.1097/CCE.0000000000000562https://doaj.org/article/d867bbdf38ba44d0b8f52802b4b0a72e2021-10-01T00:00:00Zhttp://journals.lww.com/10.1097/CCE.0000000000000562https://doaj.org/toc/2639-8028OBJECTIVES:. To create evidence-based consensus statements for restricted ICU visitation policies to support critically ill patients, families, and healthcare professionals during current and future pandemics. DESIGN:. Three rounds of a remote modified Delphi consensus process. SETTING:. Online survey and virtual polling from February 2, 2021, to April 8, 2021. SUBJECTS:. Stakeholders (patients, families, clinicians, researchers, allied health professionals, decision-makers) admitted to or working in Canadian ICUs during the coronavirus disease 2019 pandemic. MEASUREMENTS AND MAIN RESULTS:. During Round 1, key stakeholders used a 9-point Likert scale to rate experiences (1—not significant, 9—significant impact on patients, families, healthcare professionals, or patient- and family-centered care) and strategies (1—not essential, 9—essential recommendation for inclusion in the development of restricted visitation policies) and used a free-text box to capture experiences/strategies we may have missed. Consensus was achieved if the median score was 7–9 or 1–3. During Round 2, participants used a 9-point Likert scale to re-rate experiences/strategies that did not meet consensus during Round 1 (median score of 4–6) and rate new items identified in Round 1. During Rounds 2 and 3, participants ranked items that reached consensus by order of importance (relative to other related items and experiences) using a weighted ranking system (0–100 points). Participants prioritized 11 experiences (e.g., variability of family’s comfort with technology, healthcare professional moral distress) and developed 21 consensus statements (e.g., communicate policy changes to the hospital staff before the public, permit visitors at end-of-life regardless of coronavirus disease 2019 status, creating a clear definition for end-of-life) regarding restricted visitation policies. CONCLUSIONS:. We have formulated evidence-informed consensus statements regarding restricted visitation policies informed by diverse stakeholders, which could enhance patient- and family-centered care during a pandemic.Kirsten M. Fiest, PhDKarla D. Krewulak, PhDKira Makuk, BHScNatalia Jaworska, MD, MScLaura Hernández, BASean M. Bagshaw, MD, MScKaren E. Burns, MD, MScDeborah J. Cook, MD, MScChristopher J. Doig, MD, MScAlison Fox-Robichaud, MD, MScRobert A. Fowler, MD, MScMichelle E. Kho, PT, PhDKen Kuljit S. Parhar, MD, MScOleksa G. Rewa, MD, MScBram Rochwerg, MD, MScBonnie G. SeptAndrea Soo, PhDSean Spence, MDAndrew West, EdDHenry T. Stelfox, MD, PhDJeanna Parsons Leigh, PhDfor the Canadian Critical Care Trials GroupKusum MenonVazquez GrandeMark DuffetJennifer FosterDominique PiquetteNicole ZytarukSylvie DebigaréSrinivas MurthyDanaë TassySangeeta MehtaWolters KluwerarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENCritical Care Explorations, Vol 3, Iss 10, p e0562 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Kirsten M. Fiest, PhD Karla D. Krewulak, PhD Kira Makuk, BHSc Natalia Jaworska, MD, MSc Laura Hernández, BA Sean M. Bagshaw, MD, MSc Karen E. Burns, MD, MSc Deborah J. Cook, MD, MSc Christopher J. Doig, MD, MSc Alison Fox-Robichaud, MD, MSc Robert A. Fowler, MD, MSc Michelle E. Kho, PT, PhD Ken Kuljit S. Parhar, MD, MSc Oleksa G. Rewa, MD, MSc Bram Rochwerg, MD, MSc Bonnie G. Sept Andrea Soo, PhD Sean Spence, MD Andrew West, EdD Henry T. Stelfox, MD, PhD Jeanna Parsons Leigh, PhD for the Canadian Critical Care Trials Group Kusum Menon Vazquez Grande Mark Duffet Jennifer Foster Dominique Piquette Nicole Zytaruk Sylvie Debigaré Srinivas Murthy Danaë Tassy Sangeeta Mehta A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic
description	OBJECTIVES:. To create evidence-based consensus statements for restricted ICU visitation policies to support critically ill patients, families, and healthcare professionals during current and future pandemics. DESIGN:. Three rounds of a remote modified Delphi consensus process. SETTING:. Online survey and virtual polling from February 2, 2021, to April 8, 2021. SUBJECTS:. Stakeholders (patients, families, clinicians, researchers, allied health professionals, decision-makers) admitted to or working in Canadian ICUs during the coronavirus disease 2019 pandemic. MEASUREMENTS AND MAIN RESULTS:. During Round 1, key stakeholders used a 9-point Likert scale to rate experiences (1—not significant, 9—significant impact on patients, families, healthcare professionals, or patient- and family-centered care) and strategies (1—not essential, 9—essential recommendation for inclusion in the development of restricted visitation policies) and used a free-text box to capture experiences/strategies we may have missed. Consensus was achieved if the median score was 7–9 or 1–3. During Round 2, participants used a 9-point Likert scale to re-rate experiences/strategies that did not meet consensus during Round 1 (median score of 4–6) and rate new items identified in Round 1. During Rounds 2 and 3, participants ranked items that reached consensus by order of importance (relative to other related items and experiences) using a weighted ranking system (0–100 points). Participants prioritized 11 experiences (e.g., variability of family’s comfort with technology, healthcare professional moral distress) and developed 21 consensus statements (e.g., communicate policy changes to the hospital staff before the public, permit visitors at end-of-life regardless of coronavirus disease 2019 status, creating a clear definition for end-of-life) regarding restricted visitation policies. CONCLUSIONS:. We have formulated evidence-informed consensus statements regarding restricted visitation policies informed by diverse stakeholders, which could enhance patient- and family-centered care during a pandemic.
format	article
author	Kirsten M. Fiest, PhD Karla D. Krewulak, PhD Kira Makuk, BHSc Natalia Jaworska, MD, MSc Laura Hernández, BA Sean M. Bagshaw, MD, MSc Karen E. Burns, MD, MSc Deborah J. Cook, MD, MSc Christopher J. Doig, MD, MSc Alison Fox-Robichaud, MD, MSc Robert A. Fowler, MD, MSc Michelle E. Kho, PT, PhD Ken Kuljit S. Parhar, MD, MSc Oleksa G. Rewa, MD, MSc Bram Rochwerg, MD, MSc Bonnie G. Sept Andrea Soo, PhD Sean Spence, MD Andrew West, EdD Henry T. Stelfox, MD, PhD Jeanna Parsons Leigh, PhD for the Canadian Critical Care Trials Group Kusum Menon Vazquez Grande Mark Duffet Jennifer Foster Dominique Piquette Nicole Zytaruk Sylvie Debigaré Srinivas Murthy Danaë Tassy Sangeeta Mehta
author_facet	Kirsten M. Fiest, PhD Karla D. Krewulak, PhD Kira Makuk, BHSc Natalia Jaworska, MD, MSc Laura Hernández, BA Sean M. Bagshaw, MD, MSc Karen E. Burns, MD, MSc Deborah J. Cook, MD, MSc Christopher J. Doig, MD, MSc Alison Fox-Robichaud, MD, MSc Robert A. Fowler, MD, MSc Michelle E. Kho, PT, PhD Ken Kuljit S. Parhar, MD, MSc Oleksa G. Rewa, MD, MSc Bram Rochwerg, MD, MSc Bonnie G. Sept Andrea Soo, PhD Sean Spence, MD Andrew West, EdD Henry T. Stelfox, MD, PhD Jeanna Parsons Leigh, PhD for the Canadian Critical Care Trials Group Kusum Menon Vazquez Grande Mark Duffet Jennifer Foster Dominique Piquette Nicole Zytaruk Sylvie Debigaré Srinivas Murthy Danaë Tassy Sangeeta Mehta
author_sort	Kirsten M. Fiest, PhD
title	A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic
title_short	A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic
title_full	A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic
title_fullStr	A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic
title_full_unstemmed	A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic
title_sort	modified delphi process to prioritize experiences and guidance related to icu restricted visitation policies during the coronavirus disease 2019 pandemic
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/d867bbdf38ba44d0b8f52802b4b0a72e
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A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic

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