Nursing professionals' perspectives on open-door ICU: an integrative review.
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Abstract
Introduction: The intensive care unit is characterized by being a hostile environment where the patient may experience negative feelings, therefore, strategies such as open doors have been established to humanize care, however, it is essential to take into account the perspective of nursing professionals, who are responsible for providing comprehensive care and including family members in the activities they perform. Objective: To know what has been published in the literature about the perspectives of nursing professionals on open-door ICU. Methodology: An integrative review was conducted, obtaining 456 studies from the databases consulted. Articles published in the last 10 years (2014-2024) in Spanish, Portuguese and English were considered as inclusion criteria. Results: Of the 17 articles selected, 7 categories were identified according to the perspectives of nursing professionals on open-door ICU: characterization, positive impact of humanized care, effect of the visit on staff, effect and beliefs of the visit on the patient, effect of the visit on the family, open-door ICU visitation policy, and requirements for the implementation of the visit. Conclusion: Nursing professionals perceive open-door ICU as a strategy that improves the quality of care and patient recovery but requires appropriate protocols. For some, it is a model of humanization and family participation, while others warn that the family's lack of knowledge and mistrust can generate conflicts in care. General Area of Study: Medicine. Specific area of study: Nursing. Type of study: Review article.
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