title: Evidence-based practice in a military intensive care unit family visitation.
abstract: BACKGROUND
  The dissatisfaction of family members with a restrictive visiting policy in a combined intensive care and step-down unit provides an opportunity for staff to develop better ways to meet the needs of patients and their families. A review of the evidence-based practice (EBP) literature as the measure of significance indicated that less restrictive visitation policies enhance patient and family satisfaction and offer many physiologic and psychological benefits to the patient.
  
  
  OBJECTIVE
  The purpose of this study was to determine whether a less restrictive visitation policy could be implemented in the adult critical care department of a naval medical center.
  
  
  METHODS
  Staff was educated on the use of EBP, specifically the Iowa-based model, and a less restrictive visitation policy was developed and implemented.
  
  
  RESULTS
  Evaluation of the postintervention survey findings revealed higher patient and family satisfaction.
  
  
  CONCLUSIONS
  The findings from this EBP project suggest that a more open visitation policy is feasible in adult critical care units, with an increase in overall satisfaction of patients and their families with regard to their stay in the intensive care unit.
authors.affiliation: Nursing Corps, U.S. Navy, Nursing Research Consultation Service, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USA. jwhitco@clemson.edu
authors.forename: John J
authors.initials: JJ
authors.lastname: Whitcomb
authors.forename: John A
authors.initials: JA
authors.lastname: Whitcomb
authors.forename: Deborha
authors.initials: D
authors.lastname: Roy
authors.forename: Virginia Schmied
authors.initials: VS
authors.lastname: Blackman
mesh_terms: D000328:Adult; D003258:Consumer Behavior; D055317:Evidence-Based Practice; D006284:Health Plan Implementation; D006772:Hospitals, Military; D006801:Humans; D007318:Inservice Training; D007362:Intensive Care Units / Q000458:organization & administration*; D008962:Models, Theoretical; D016134:Organizational Policy; D014768:Virginia; D014789:Visitors to Patients