Evaluation Of An Intensive Care Unit ( Icu )

3111 WordsNov 11, 201413 Pages
Chapter I Introduction Admission to an Intensive Care Unit (ICU) is recognized as an extremely stressful experience for both patients and their families (Williams, 2005). The ICU admission creates a vast uncertainty, which could produce stress, lack of sleep and anxiety for both patients and family members. The uncertainty is whether the patient’s health outcomes will be survival, disability, or death. The longstanding practice of nurses in the ICU has been to restrict visitation to promote a quiet healing environment, increase privacy and reduce the spread of infection. Although visitation policies vary among facilities, the American Association of Critical Care Nurses (AACN) has set forth the recommendation that critical care units move towards achieving open visitation hours (American Association of Critical Care Nurses, 2011). This change in practice may trigger ambivalent feelings among many critical care nurses across the nation. Problem Statement More than five million patients are admitted annually to the ICU in the United States (U.S.) (Society of Critical Care Medicine, 2005). ICU nurses report that open visitation will increase physiological stress in patients, which can contribute to a variety of changes including increased intracranial pressure, heart rate (HR), or blood pressure (BP). On the contrary, studies indicate open visitation can lead to a decrease in length of stay, decrease anxiety and an increase in patient satisfaction (American
Open Document