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Impact of restricted visitation policies in hospitals on patients, family members and healthcare providers during the COVID-19 pandemic: a scoping review protocol.
Moss, Stephana J; Stelfox, Henry T; Krewulak, Karla D; Ahmed, Sofia; Anglin, Melanie C; Bagshaw, Sean M; Barnes, Tavish; Burns, Karen E A; Cook, Deborah J; Crowe, Sarah; Doig, Christopher J; Foster, Nadine; Fox-Robichaud, Alison; Fowler, Robert; Kredenster, Maia; Murthy, Srinivas; Niven, Daniel; Olafson, Kendiss; Parhar, Ken Kuljit S; Patten, Scott B; Rewa, Oleska; Rochwerg, Bram; Sept, Bonnie G; Soo, Andrea; Spence, Krista; Spence, Sean; Straus, Sharon E; West, Andrew; Parsons Leigh, Jeanna; Fiest, Kirsten M.
  • Moss SJ; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Stelfox HT; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Krewulak KD; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Ahmed S; Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Anglin MC; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Bagshaw SM; Critical Care Medicine, University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada.
  • Barnes T; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Burns KEA; Medicine, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.
  • Cook DJ; Medicine, McMaster University, Hamilton, Ontario, Canada.
  • Crowe S; Nurse Practitioners, Royal Columbian Hospital, New Westminster, British Columbia, Canada.
  • Doig CJ; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Foster N; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Fox-Robichaud A; Medicine, McMaster University, Hamilton, Ontario, Canada.
  • Fowler R; Sunnybrook Health Sciences Institute, Sunnybrook Research Institute, Toronto, Ontario, Canada.
  • Kredenster M; Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.
  • Murthy S; Departments of Pediatrics and Critical Care Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
  • Niven D; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Olafson K; Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
  • Parhar KKS; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Patten SB; Psychiatry, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Rewa O; Critical Care Medicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada.
  • Rochwerg B; Medicine, McMaster University, Hamilton, Ontario, Canada.
  • Sept BG; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Soo A; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Spence K; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  • Spence S; Critical Care Medicine, Chinook Regional Hospital, Lethbridge, Alberta, Canada.
  • Straus SE; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
  • West A; Respiratory Therapy, Canadian Society of Respiratory Therapists, Saint John, New Brunswick, Canada.
  • Parsons Leigh J; Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
  • Fiest KM; Critical Care Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada kmfiest@ucalgary.ca.
BMJ Open ; 11(9): e048227, 2021 09 23.
Article in English | MEDLINE | ID: covidwho-1438083
ABSTRACT

INTRODUCTION:

Flexible visitation policies in hospitals are an important component of care that contributes to reduced stress and increased satisfaction among patients and their family members. Early evidence suggests restricted visitation policies enacted in hospitals during the COVID-19 pandemic are having unintended consequences on patients, family members and healthcare providers. There is a need for a comprehensive summary of the impacts of restricted visitation policies on key stakeholders and approaches to mitigate that impact. METHODS AND

ANALYSIS:

We will conduct a scoping review as per the Arksey-O'Malley 5-stage scoping review method and the Scoping Review Methods Manual by the Joanna Briggs Institute. We will search relevant electronic databases (eg, CINAHL, MEDLINE, PsycINFO), grey literature and preprint repositories. We will include all study designs including qualitative and quantitative methodologies (excluding protocols) as well as reports, opinions and editorials, to identify the broad impact of restricted hospital visitation policies due to the COVID-19 pandemic on patients, family members or healthcare providers of hospitalised patients, and approaches taken or proposed to mitigate this impact. Two reviewers will calibrate the screening criteria and data abstraction form and will independently screen studies and abstract the data. Narrative synthesis with thematic analysis will be performed. ETHICS AND DISSEMINATION Ethical approval is not applicable as this review will be conducted on published literature only. This scoping review will identify, describe and categorise impacts of restricted hospital visitation policies due to the COVID-19 pandemic on patients, family members and healthcare providers of hospitalised patients, and approaches that have been taken to mitigate impact. We will provide a comprehensive synthesis by developing a framework of restricted visitation policies and associated impacts. Our results will inform the development of consensus statements on restricted visitation policies to be implemented in future pandemics. PROSPERO REGISTRATION NUMBER CRD42020221662.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Prognostic study / Qualitative research / Randomized controlled trials / Reviews Limits: Humans Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2020-048227

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Prognostic study / Qualitative research / Randomized controlled trials / Reviews Limits: Humans Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2020-048227