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Title: Introduction of open visiting policy in intensive care units in Ukraine: policy analysis and the ethical perspective
Authors: Zupanets, I. A.
Dobrova, V. Ye.
Ratushna, K. L.
Silchenko, S. O.
Зупанець, І. А.
Зупанец, И. А.
Доброва, В. Е.
Ратушна, К. Л.
Сільченко, С. О.
Keywords: ethicalanalysis;intensive care unit;Ukraine;openvisiting policy;policymaking
Issue Date: 2018
Bibliographic description (Ukraine): Introduction of open visiting policy in intensive care units in Ukraine: policy analysis and the ethical perspective / I. A. Zupanets, V. Ye. Dobrova, K. L. Ratushna, S. O. Silchenko // Asian Bioethics Review. - 2018. - Vol. 10, Iss. 2. - Р. 105-121.
Series/Report no.: Volume 10;Number 2
Abstract: Open visiting policy (OVP) in intensive care units (ICU) is considered a favorable visiting regime that may benefit patients and their family members as well as medical staff. The article examines the conditions and causes of OVP-making process in Ukraine and presents the ethical analysis of its implications with respect to the key stakeholders: ICU patients, family members, and medical staff. The OVP, established by the Ministry of Health in June, 2016, changes current approaches to the recognition of the role of families in critically ill patients’ care dramatically; it does, however, have serious shortcomings. The analysis of risks and benefits showed that OVP does not adequately cater to the needs of all the key players—family members, patients, and medical staff. Moreover, there is no clear mechanism to control OVP implementation via feedback from all the key players (particularly patients and their families). These issues give rise to a concern that the implementation of OVP will die on the vine. In order to prevent this, a range of measures is required: the optimization of the ICU facilities and internal procedures, super- vision of OVP implementation by policy-makers, training of medical staff, and providing family members with educational programs. Considering current shortcomings, it is crucially important to develop clear and consistent internal guidelines in hospitals that will guarantee the introduction of open ICU visiting and quality of critical care provisions.
ISSN: 1793-8759
Appears in Collections:Наукові публікації кафедри клінічної фармакології та клінічної фармації

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