• Kerry A Milner, Susan Goncalves, Suzanne Marmo, and Sheri Cosme.
• Kerry A. Milner is an associate professor of nursing, Susan Goncalves is an assistant professor of nursing, and Suzanne Marmo is an assistant professor of social work at Sacred Heart University, Fairfield, Connecticut. Sheri Cosme is the director of accreditation, practice transition accreditation, and nursing skills competency programs at the American Nurses Credentialing Center, Silver Spring, Maryland.
• Am. J. Crit. Care. 2020 May 1; 29 (3): 221-225.

BackgroundEvidence indicates that open visitation in adult intensive care units is a best practice for patient- and family-centered care, and nurses substantially influence such visitation patterns. However, it is unclear whether intensive care units in Magnet and Pathway to Excellence (MPE) facilities nationwide implement this in practice.ObjectiveTo describe current national visitation practices in adult intensive care units and determine whether they have changed since the last national study, which used data from 2008 to 2009.MethodsFrom February through April 2018, websites of MPE hospitals were reviewed in order to identify their adult intensive care unit visitation policy. If this information was unavailable online, the hospital was telephoned to obtain the policy. From May through August 2018, follow-up telephone calls were made to hospitals that reported open visitation, during which intensive care unit nurses at the hospitals were asked to verify that the policy did not restrict visiting hours or the number, type, or age of visitors.ResultsAmong the 536 MPE hospitals contacted, 51% (n = 274) indicated that they allowed open visitation. Further examination, however, revealed that 64% (n = 175) restricted the number (68.2%), age (59.5%), or type (4.4%) of visitors, or visiting hours (19.8%). Only 18.5% of MPE hospitals (n = 99) allowed unrestricted visitation.ConclusionThis study suggests a lack of progress toward implementing open visitation in adult intensive care units nationwide. Research on MPE hospitals that have adopted truly open visitation policies is needed to identify successful methods for implementing and sustaining open visitation.Copyright© 2020 American Association of Critical-Care Nurses.

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