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Pediatr Crit Care Me · Oct 2023
Visiting Policies and Parental Presence During PICU Admission: A Survey in French Units.
- Manon Bergerat, Laure De Saint Blanquat, Christophe Milesi, Marion Grimaud, Fleur Le Bourgeois, Sylvain Renolleau, Marie Pouletty, Mehdi Oualha, Stéphane Leteurtre, Morgan Recher, and Agathe Béranger.
- Réanimation et surveillance continue medico-chirurgicales pédiatriques, AP-HP, Hôpital Necker Enfants Malades, Université de Paris, Paris, France.
- Pediatr Crit Care Me. 2023 Oct 1; 24 (10): e498e504e498-e504.
ObjectivesTo describe the policies about parent visiting and involvement in care during admission to French PICUs.DesignA 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.SettingThirty-five PICUs in France.PatientsNone.InterventionsNone.Measurements And Main ResultsTwenty-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%).ConclusionsUnrestricted 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.Copyright © 2023 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.
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