Barrier nursing
Barrier nursing is a term for a set of stringent
Barrier nursing was created as a means to maximize isolation care. Since it is impossible to isolate a patient from society and medical staff while still providing care, there are often compromises made when it comes to treating infectious patients. Barrier nursing is a method to regulate and minimize the number and severity of compromises being made in isolation care, while also preventing the disease from spreading.[1]
History & usage
Barrier nursing started off as a term used by the Centre for Disease Control (CDC) to describe early
Simple vs strict barrier nursing
Simple barrier nursing
Simple barrier nursing is used when an infectious agent is suspected within a patient and
Strict Barrier Nursing
Strict barrier nursing, which is also known as "rigid barrier nursing", is used for the rarer and more specific deadly viruses and infections:
Psychiatric effects of barrier nursing
Positive effects
- Older patients and patients with more experience are content with their situation and approach it with more positivity.[9]
- Some patients enjoy the experience of privacy and quietness that a single barrier room provides.
Negative effects
- Barrier nursing/isolation influences the quality of care and opportunity for emotional support of the patient.[9]
- Barrier nursing imposes barriers on the expression of a patient's own identity and any normal interpersonal relationships that he/she may have.[9]
- Barrier nursing can lead to anxiety, anger, frustration and fear especially if the patient isn't given enough information, or incorrect information on their disease.[9]
- Barrier nursing equipment can sometimes aggravate the social stigma associated with their infectious disease.
Although participants understood the importance for Personalized Protective equipment, they still found that its use increased their fear and sense of stigma.[9]
- Placing patients in barrier nursing rooms may expose them to less medical care or access to associated treatment.
Many researchers have indicated that healthcare professionals may regard a patient in source isolation differently from others. In studies regarding barrier nursing of patients with methicillin-resistant Staphylococcus aureus, medical staff admitted to spending less time with patients in source isolation.[9]
Solutions to negative effects of barrier nursing/isolation
- Empowering patients with accurate and meaningful information about their disease as a means of coping with their experience.[10]
- Providing accurate information for family and visitors in order to ensure or reduce their initial ill‑informed fear of becoming infected.[9]
- Ensuring patients have access to a telephone as a means of communication with the outside world.[9]
- Designing facilities with windows and free space that allow patients to see the outside world and mitigate their feelings of confinement.[9]
References
- ^ PMID 20722197.
- PMID 9661353.
- ^ PMID 20722801.
- ISBN 9780443101472.
- ^ ISBN 9780702039355.
- ^ S2CID 21403239.
- ISBN 9780124169753.
- ISBN 9780702051012.
- ^ hdl:10072/35631.
- ^ "PRIME PubMed | 'Patient perspective'--psychological effects of barrier nursing isolatio". www.unboundmedicine.com. Retrieved 2017-12-14.