ICU sedation, delirium & recovery
A survey of pediatric intensive care unit clinician experience with restricted family presence during COVID-19
Authors' conclusion
Pediatric intensive care unit-based RFP rules, largely designed and implemented without bedside clinician input, caused increased psychological burden for clinicians, characterized as moderate moral distress and trauma triggered by perceived impacts on families.
Study context
- Population
- Canadian PICU clinicians who experienced COVID-19-related restricted family presence (RFP) policiesof 388 respondents
- Participants
- 368 clinicians
- Outcome
- Moral distress (Moral Distress Thermometer, range 0-10) and mental health impacts (IES, range 0-75; attributable stress, five-point Likert scale)
Methodological detailsonline, self-administered survey, national
- Online
- Self-administered survey
- National
Main finding
As reported in the abstract
Moral distress score, mean (SD)
4.5
2.4
Total IES score, mean (SD), suggesting moderate traumatic stress
29.7
10.5
Increased/significantly increased stress from restrictions
56%
176/317
Observational data: associations, not effects.
Further findings
- Incongruence between RFP policies/practices and PICU values perceived
- 66% (217/330)
- Felt opinions not valued when implementing policies
- 235/330, 71%
- Perceived restrictions implemented for benefit of clinicians
- 252/332, 76%
- Perceived restrictions implemented to protect families
- 236/315, 75%
- Disagreed that RFP experience was mainly positive
- 57% (188/332)
Original publication
A survey of pediatric intensive care unit clinician experience with restricted family presence during COVID-19. Can J Anaesth. Published 23 August 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →