The Research Of Beliefs And Attitudes Fromboth Healthcare Professionals And Patients Toword ICU Visitation

Objective:To investigate the current situation and influence factors of the beliefs and attitudesof both healthcare professionals and patientstoward ICU visitation. The recommendationswill be provided to complete the ICU visiting policies and carry out professional trainingfor the healthcare professionals.Methods：Stratified cluster sampling and convenience sampling was used in this study. A totalof295healthcare professionals and130patients’ families were surveyed in3hospitals.The Chinese version of BAVIQ was used to evaluate the beliefs and attitudes of both thehealthcare professionals and patients.Results:1. The Cronbach’s alpha coefficient of the Chinese version of BAVIQ were0.799~0.842and the Cronbach’s alpha coefficient of each factor were all above0.6exceptthe family factor of patients’ families (0.518). The I-CVI of22items were all above0.71.The S-CVI/UA of whole questionnaire was0.38and the S-CVI/Ave was0.83. A scale offive factors was identified by exploratory factor analysis when the investigation objectwas healthcare professionals and the five factors could explain51.51%of the variance.When the investigation object was patients’ families, the identified factors could explain51.75%of the variance. The load values of26items were all above0.4except one item.2. On the items assessing beliefs, the median score was2.62±0.29for healthcareprofessionals and2.99±0.30for patients’ families. On the items assessing attitudes, themedian score was4.60±1.37for healthcare professionals and5.90±1.40for patients’families. When the investigation object was healthcare professionals, the correlationbetween beliefs and attitudes was significant and positive(r=0.491，P＜0.01) and the correlation coefficients of dimensions and belief scale were0.796~0.838. When theinvestigation object was patients’ families, there was no correlation between beliefs andattitudes(P＞0.05) and the correlation coefficients of dimensions and belief scale were0.752~0.850.3. On analyzing the relationship between variables, no statistically significantassociations have been found. Different working years in ICU and the satisfaction withthe exiting ICU visitation policies will affect the belief score of healthcare professionals(P＜0.05). The attitude score of healthcare professionals with different titles and differenteducation levels have statistically significant differences(P＞0.05). The interest variablesof healthcare professionals with differentgender, age, marital status, the relation withpatient and the visiting experience have no statistically significant differences(P＞0.05).Different education levels and the satisfaction with the exiting ICU visitation policies willaffect the belief score of patients’ families(P＜0.05).4. Overall,40healthcare professionals and49patients’ families completed the openquestions for response rates of13.6%and37.7%. The first two summaries of healthcareprofessionals were “Canceled or limited the ICU visiting policies” and “both thehealthcare professionals and patients should obey the rules”. The first two summaries ofpatients’ families were “increased the visiting time or the number of visitors” and “tryingnew visiting methods as using video machine or one-way mirror”.Conclusions:1. The Chinese version of BAVIQ has good reliability and validity to assess thebeliefs and attitudes of both healthcare professionals and patients toward ICU visitation.2. All the ICUs used restricted visiting policies which major restrictive conditionincluding visiting time, the number of visitor and compulsory protective measures.3. The healthcare professionals believed the effect of visiting were positive and thepatients’ families hold more positive attitudes.4. ICU working experience and the satisfaction with the exiting ICU visitationpolicies will affect the beliefs of healthcare professionals. The attitudes are affected byhealthcare professionals’ titles and education levels. Different education levels and thesatisfaction with the exiting ICU visitation policies will affect the beliefs of patients’families.5. The appeals of both healthcare professionals and patients toward ICU visitationare opposite. The families of patients want to try new visiting methods.