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CS433
Totally unrestrictive: Opening the Doors to Patient- and Family-Centered Care in Ten ICUs Across one Institution
By: J. Puppe, L. Evenson, D. Pfrimmer & J. Holubar; Mayo Clinic, Rochester, MN
For further information, please contact: puppe.jacqueline@mayo.edu
Purpose: Our Critical Care Nurse Practice Committee (CCNPC) implemented open visitation in all ten ICUs in a large medical center. The purpose of this is to share how we implemented and achieved consistent evidence based practice among a large multidisciplinary team, including more than 800 nurses.
Description: In March 2006, IHI issued a challenge to institute a “totally unrestricted” visiting policy in ICUs. The CCNPC accepted the challenge to champion this best practice change in critical care. An evaluation of practice across units reflected visitation variations. An Open Visitation workgroup was created to plan, implement, and evaluate an open visitation practice change. In order to achieve staff buy-in, the workgroup collaborated with the CCNPC members on each unit for endorsement and identification of foreseen obstacles at the unit level. In addition, the workgroup attended the multidisciplinary Critical Care Committee (CCC) to request feedback and endorsement of the proposed open visitation practice change. An eight-week open visitation evaluation phase was implemented in all ICUs. A tracking tool was created to track both positive comments as well as perceived barriers. The workgroup met weekly to review the feedback and address perceived barriers which were mostly communication issues. Since communication was the most common issue, classes offered by Human Resources on communication skills were highlighted. This poster will highlight common experiences and how we successfully standardized open visitation across ten ICUs.
Evaluation and Outcomes: All unit brochures were combined into one critical care brochure highlighting open visitation. Unit signage on visiting hours was taken down, open visitation was incorporated into the institution visitor policy, and unit visitation guidelines were discontinued. As we progressed in the evaluation phase, staff shared more positive experiences and embraced the practice change. All the above changes allowed us to successfully standardize practice.
Poster Presentation: Click on the icon below to launch
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