#WeNurses - Thursday 29th August 2019 8pm (GMT Standard Time) Hospital visiting

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Hosted by WeNurses using #WeNurses

This chat is guest hosted by @NursingConvos @receivingconsnt

This tweetchat is based on the Nursing Conversations Conversation Starter "Can we be flexible with hospital visiting?" written by Emma Heron - which you can read HERE



Some of the questions we will be exploring during this tweetchat are:

  • Visitors to hospitals are subject to different rules; some hospitals even having completely different visiting hours across their departments and wards.   Do we ensure visitors are aware of the expectations we have?
  • How do we ensure the privacy of other patients on the ward, as per the NMC Code of Conduct (Standard 5), when visitors are present?
  • How do we support those patients who do not receive visitors either because they do not have anyone able to physically visit them or because a ward is closed due to infection?
  • Rigid visiting schedules have various rationales behind them, but as a rule children wards seem to be more flexible and open. Are there lessons that can be learned from this model that can be taken through into an adult ward?
  • As nurses, how do we balance the needs of patients to see their family member/ visitors with the needs of those visitors and also, the needs of the ward e.g. intimate care/ examinations where it is not always appropriate for visitors to be present?





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 Chat Summary

 

This was a very vibrant discussion with lots of really fascinating tweets, here are a few of the themes that came through:

Family was one of the biggest themes of the evening: 










There were also lots of tweets around technology and phones:









The use of curtains struck a chord with many people:









Finally flexibility was something nearly everyone agreed on:








Don't forget you can catch up with the full Nursing Conversation here:








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 #WeNurses transcript

 
@WeNurses
29 August 2019 20:01
Hello and welcome to #WeNurses ... it's great to be back after our summer break and we are looking forward to discussing 'Hospital Visiting" for the next hour A big welcome to @receivingconsnt and @NursingConvos who are our guests this evening https://t.co/5Amii70YXN
@NursingConvos
29 August 2019 20:01
hello we are here and raring to go #WeNurses https://twitter.com/WeNurses/status/1167150258641674244
@AgencyNurse
29 August 2019 20:02
Hello everyone ... nice to be back and tweetchatting #WeNurses
@PUNCadp
29 August 2019 20:02
@WeNurses @receivingconsnt @NursingConvos Good evening #WeNurses
@WeCYPnurses
29 August 2019 20:02
#WeNurses discussing visiting this evening https://twitter.com/WeNurses/status/1167150258641674244
@receivingconsnt
29 August 2019 20:02
@WeNurses #WeNurses Hello Emma here ?? I was inspired to write the conversation starter in hospital visiting after a conversation on Twitter. Taking a close family member to hospital was going to be tricky due to the visiting hours they had one the unit.
@WeMHNurses
29 August 2019 20:03
#WeNurses just starting on visiting > https://twitter.com/WeNurses/status/1167150258641674244
@CNSSinead
29 August 2019 20:03
@WeNurses @receivingconsnt @NursingConvos Hello everybody #WeNurses
@WeNurses
29 August 2019 20:03
Hi Emma - thanks for joining us and thanks for starting this conversation #WeNurses https://twitter.com/receivingconsnt/status/1167150657624825858
@WeNurses
29 August 2019 20:04
@CNSSinead @receivingconsnt @NursingConvos Hi Sinead #WeNurses
@PracticeNurses
29 August 2019 20:04
RT @WeNurses: Hello and welcome to #WeNurses ... it's great to be back after our summer break and we are looking forward to discussing 'Hos…
@WeNurses
29 August 2019 20:05
@PUNCadp @receivingconsnt @NursingConvos Hi Amy and welcome #WeNurses
@WeNurses
29 August 2019 20:05
QUESTION 1 Visitors to hospitals are subject to different rules; some hospitals even having completely different visiting hours across their departments and wards. Do we ensure visitors are aware of the expectations we have? #WeNurses https://t.co/g6VjEnMSHN
@WeNurses
29 August 2019 20:05
RT @NursingConvos: hello we are here and raring to go #WeNurses https://twitter.com/WeNurses/status/1167150258641674244
@ClaireLSutton
29 August 2019 20:05
@WeNurses @receivingconsnt @NursingConvos Hi all #WeNurses
@WeNurses
29 August 2019 20:06
Opps we think thats meant to read "How do we ensure visitors are aware of the expectations we have?" #WeNurses https://twitter.com/WeNurses/status/1167151200908775425
@WeNurses
29 August 2019 20:06
@ClaireLSutton @receivingconsnt @NursingConvos Hi Claire #WeNurses
@PUNCadp
29 August 2019 20:06
@WeNurses In my local hospital it's clearly shown what the visiting hours are, I don't think there are vast differences between each ward, maybe the high dependency etc get different times #WeNurses
@AgencyNurse
29 August 2019 20:08
I think it can be very confusing for visitors and patients .. if we do have visiting hours we need to ensure it's really clear and communicated well ... though i have to admit to being more in favour of open visiting #WeNurses https://twitter.com/WeNurses/status/1167151200908775425
@PUNCadp
29 August 2019 20:08
@WeNurses Clear signage? Informing patients to inform family what times visiting is? #WeNurses
@AgencyNurse
29 August 2019 20:09
This is very important indeed ... but also flexibility is important .. i think we should show the same compassion to visitors as we do to patients #WeNurses https://twitter.com/PUNCadp/status/1167151995775590400
@coxc41
29 August 2019 20:10
@WeNurses Agree Amy #WeNurses
@PUNCadp
29 August 2019 20:10
@receivingconsnt Normally at the entrance to the ward. However, probably easily missed. I do believe the website shows up to date visiting hours for each ward, which seems to be how we all find out things these days! #WeNurses
@ClaireLSutton
29 August 2019 20:10
@WeNurses It can be even more difficult than just different hospitals. Some wards/departments have different visiting times so if a person moves wards their visiting times change. Clear signage and “welcome leaflets” for visitors help. But consistency might be more helpful. #WeNurses
@receivingconsnt
29 August 2019 20:10
@AgencyNurse When I was looking for information before going into hospital I tried looking at the website for the hospital but it was very unclear! How can we ensure visitors can find the information they need before they come to the hospital? #WeNurses
@kavanag
29 August 2019 20:10
RT @WeNurses: Hello and welcome to #WeNurses ... it's great to be back after our summer break and we are looking forward to discussing 'Hos…
@PUNCJack
29 August 2019 20:10
@WeNurses On placement, part of admission and welcoming the patient to the ward was ensuring they knew when their visitors were able to come. The ward in question appeared to be open 24/7 if necessary. #WeNurses
@MissyRoberts84
29 August 2019 20:10
@WeNurses In our trust the open visiting is already in place all throughout the day and its putting a lot of pressure on the staff that are needing to see to the families/answer their questions etc throughout the day. Staff are having to work well over their time to get jobs done #wenurses
@receivingconsnt
29 August 2019 20:11
That’s great your website is up to date and clear ?? ?? #WeNurses https://twitter.com/puncadp/status/1167152534257111040
@WeNurses
29 August 2019 20:11
Ahhh interesting ... so how can we balance this out ?? How do we find a solution that works for all ?? can we?? #WeNurses https://twitter.com/MissyRoberts84/status/1167152541781696513
@AgencyNurse
29 August 2019 20:12
#WeNurses https://twitter.com/MissyRoberts84/status/1167152541781696513
@PUNCadp
29 August 2019 20:12
@AgencyNurse I know as a family member, we have been to see someone out of visiting hours at the wards discretion. It makes such a difference to feel that they are meeting your needs too #WeNurses
@WeNurses
29 August 2019 20:12
Why do different wards in the same hospital have different visiting hours / rules ?? #WeNurses https://twitter.com/ClaireLSutton/status/1167152543169953793
@receivingconsnt
29 August 2019 20:12
Are there clear reasons for inconsistency in visiting times do you think? #WeNurses https://twitter.com/clairelsutton/status/1167152543169953793
@ClaireLSutton
29 August 2019 20:13
@PUNCadp @AgencyNurse When my grandma was very poorly, we were allowed to stay 24/7 this was definite “rule bending” by the lovely ward team who knew as a family we’d had a poor experience when my Dad was a patient. It meant such a lot. #WeNurses
@AgencyNurse
29 August 2019 20:13
@PUNCadp yes i agree it does ... lots of people can do visiting hours but some circumstances are exceptional and we need to be flexible #WeNurses
@JPSYS
29 August 2019 20:14
RT @WeNurses: Why do different wards in the same hospital have different visiting hours / rules ?? #WeNurses https://twitter.com/ClaireLSutton/status/1167152543169953793
@WeNurses
29 August 2019 20:14
This is really wonderful to hear #WeNurses https://twitter.com/ClaireLSutton/status/1167153369028448256
@PUNCadp
29 August 2019 20:14
@WeNurses Rehab wards I've been on have limited morning visiting so physio, OT etc can take place uninterrupted. Whereas surgical wards may be open longer hours #WeNurses
@AgencyNurse
29 August 2019 20:14
RT @receivingconsnt: Are there clear reasons for inconsistency in visiting times do you think? #WeNurses https://twitter.com/clairelsutton/status/1167152543169953793
@WeNurses
29 August 2019 20:14
RT @receivingconsnt: Are there clear reasons for inconsistency in visiting times do you think? #WeNurses https://twitter.com/clairelsutton/status/1167152543169953793
@ClaireLSutton
29 August 2019 20:14
@WeNurses Simply? Car parking. Mad isn’t it? I mean I totally get why it’s seen as a good idea, but really, it’s not putting the people who are in patients at the top of the list of priorities is it? #WeNurses
@receivingconsnt
29 August 2019 20:14
Great example of compassionate flexibility #WeNurses https://twitter.com/clairelsutton/status/1167153369028448256
@WeNurses
29 August 2019 20:15
QUESTION 2 How do we ensure the privacy of other patients on the ward, as per the NMC Code of Conduct (Standard 5), when visitors are present? #WeNurses https://t.co/Z8mIaU6SAz
@WeNurses
29 August 2019 20:15
interesting #WeNurses https://twitter.com/PUNCadp/status/1167153564252352513
@coxc41
29 August 2019 20:15
@WeNurses We have a no ward visiting. 12pm until 1pm this goes for doctors and visitors unless emergency care for a patient. #WeNurses
@PUNCadp
29 August 2019 20:15
@ClaireLSutton @AgencyNurse It was the same when my Dad was in, he was a patient for a long time and they would let all his daughters visit before/after work etc #WeNurses
@WeNurses
29 August 2019 20:16
An important point .... does open / more flexible visiting impact negatively on patients ? Any evidence ? #WeNurses https://twitter.com/ElsJF/status/1167153533432582145
@receivingconsnt
29 August 2019 20:16
@coxc41 @WeNurses Is this for lunch time? Is there flexibility for caters who wish to come and help their relative/friend eat? #WeNurses
@WeNurses
29 August 2019 20:17
ahhh so a 'no visiting' time rather than a visiting time .. could this be a way forward ?? #WeNurses https://twitter.com/coxc41/status/1167153847191703552
@PUNCadp
29 August 2019 20:17
@WeNurses Don't rely on the 'soundproof' curtains when discussing things! I say it as a joke but I've seen it happen so often #WeNurses
@ClaireLSutton
29 August 2019 20:17
@WeNurses privately funded, private room wards? Sound proof curtains? I know this sounds flippant but actually, short term, there isn’t really an effective way of really maintaining privacy and dignity for all during visiting. It’s a VERY difficult thing to ensure. #WeNurses
@receivingconsnt
29 August 2019 20:18
Yes! So true! #WeNurses https://twitter.com/puncadp/status/1167154420888539136
@WeNurses
29 August 2019 20:18
thanks for sharing ... great to have someone on the discussion who has seen both sides #WeNurses https://twitter.com/kavanag/status/1167154018587697154
@AgencyNurse
29 August 2019 20:19
I do bank work in a care home ... we are totally open visiting .... it works as it evens itself out #WeNurses https://twitter.com/kavanag/status/1167154018587697154
@NursingConvos
29 August 2019 20:19
Question 2 #WeNurses https://twitter.com/WeNurses/status/1167153726513143809
@BNULisaC
29 August 2019 20:19
@WeNurses Have them clearly displayed and clearly communicated, most relatives will stick to it. However, most wards are also quite flexible for family carers - me & my uncle had no restrictions placed on us when granddad was alive, we got involved, helping granddad eat & hydrate #WeNurses
@AgencyNurse
29 August 2019 20:20
Incredibly hard with only curtains separating people .. i do think we need 'other' spaces on wards ... day rooms, private spaces etc #WeNurses https://twitter.com/WeNurses/status/1167153726513143809
@AgencyNurse
29 August 2019 20:20
RT @receivingconsnt: Great example of compassionate flexibility #WeNurses https://twitter.com/clairelsutton/status/1167153369028448256
@PUNCadp
29 August 2019 20:21
@AgencyNurse That's the patient's home though, not a hospital.. just a thought #WeNurses
@WeNurses
29 August 2019 20:21
Brilliant to hear and we agree #WeNurses https://twitter.com/BNULisaC/status/1167154881616064513
@receivingconsnt
29 August 2019 20:21
Q2 - can we actually uphold this standard practically or is it impossible? ?? #WeNurses https://twitter.com/clairelsutton/status/1167154436009078784
@AgencyNurse
29 August 2019 20:21
@PUNCadp yes indeed :) #WeNurses
@ClaireLSutton
29 August 2019 20:21
@AgencyNurse What happened to day rooms? They sort of disappeared, or became equipment storage rooms. #WeNurses
@WeNurses
29 August 2019 20:21
RT @receivingconsnt: Q2 - can we actually uphold this standard practically or is it impossible? ?? #WeNurses https://twitter.com/clairelsutton/status/1167154436009078784
@BNULisaC
29 August 2019 20:21
@WeNurses To be mindful that curtains are NOT sound barriers. If giving difficult news, maybe use a family room. Some patients will use their curtains so they don’t have other pt’s visitors looking at them and others love joining in on the convo. It’s unique to person to person. #wenurses
@wlasinclair
29 August 2019 20:22
#WeNurses Hello, just catching up with all the tweets on a subject close to my heart! https://t.co/X831QEp81K
@AgencyNurse
29 August 2019 20:22
@ClaireLSutton yes it seems very sad indeed ... i always felt that they were an important part of the ward #WeNurses
@coxc41
29 August 2019 20:22
@receivingconsnt @WeNurses Yeah definitely Emma we also have volunteers who help too especially with patients with no family which is nice for the patients #WeNurses
@PUNCadp
29 August 2019 20:22
@AgencyNurse Where I work as an HCA also have open door policy. I like it in that setting #WeNurses
@receivingconsnt
29 August 2019 20:23
Great to see you @wlasinclair #WeNurses Would be interesting to see how (if?) opinions have changed since the last tweet chat several@years ago ?? https://twitter.com/wlasinclair/status/1167155481875558401
@ClaireLSutton
29 August 2019 20:23
@receivingconsnt I think we need to be constantly mindful. Even more so in an age of electronic communication. Believing the curtains to be soundproof is something we’ve definitely all been guilty of at some point. #WeNurses
@receivingconsnt
29 August 2019 20:23
@coxc41 @WeNurses That’s great to hear ???? #WeNurses
@PUNCadp
29 August 2019 20:23
@receivingconsnt Most of the 'family' rooms are now bays or there are beds put in them #WeNurses
@ClaireLSutton
29 August 2019 20:24
@AgencyNurse My only real experience of them is as a place where bad news is delivered. So where they do still exist, they don’t have positive connotations (certainly for me anyway) #WeNurses
@wlasinclair
29 August 2019 20:24
RT @receivingconsnt: Great to see you @wlasinclair #WeNurses Would be interesting to see how (if?) opinions have changed since the last t…
@AgencyNurse
29 August 2019 20:24
@ClaireLSutton @receivingconsnt we do have to be really sensitive to it ... at times it is very difficult indeed .... we have to do the very best we can and if thats not good enough then raise concerns #WeNurses
@WeNurses
29 August 2019 20:25
QUESTION 3 How do we support those patients who do not receive visitors either because they do not have anyone able to physically visit them or because a ward is closed due to infection? #WeNurses https://t.co/DYKRCYmLwq
@wlasinclair
29 August 2019 20:25
RT @AgencyNurse: I do bank work in a care home ... we are totally open visiting .... it works as it evens itself out #WeNurses https://t.co…
@receivingconsnt
29 August 2019 20:26
Is this a growing issue? If we need to have a private conversation when another patients relatives are present what are the other options? #WeNurses https://twitter.com/puncadp/status/1167155958558208003
@AgencyNurse
29 August 2019 20:26
@ClaireLSutton yes but a useful space for that .... but could be so much more ... a place for visitors ... a place away from the noise of the ward ... somewhere different to eat rather than in or next to your bed ... all important stuff #WeNurses
@PUNCadp
29 August 2019 20:26
@WeNurses I think phone calls and television should be free of charge, unfortunately it isn't in my hospital, not sure on others #WeNurses
@ClaireLSutton
29 August 2019 20:26
@WeNurses Nursing needs a holistic approach. A good professional therapeutic relationship where nurses (and colleagues) have the time to be able to spend with patients is key to this. #WeNurses
@coxc41
29 August 2019 20:27
@WeNurses Definitely especially for patients who don't want to be disturbed during lunch. They are volunteers and family members who help with eating its especially nice for patients with out family who need support to have a hour time of our wonderful volunteers #WeNurses
@PUNCadp
29 August 2019 20:27
@ClaireLSutton @WeNurses Making time for this is difficult but so important if at all possible #WeNurses
@AgencyNurse
29 August 2019 20:27
@ClaireLSutton i think the problem was that they became dank and uninspiring spaces to watch the telly and as we moved to bedside TV's they disappeared ... however they could be really useful and vibrant spaces if we tried #WeNurses
@receivingconsnt
29 August 2019 20:27
Question 3. Green et al (2012) identified the value in having visitors - link in original nursing conversation- how can we support those who do not have visitors? #WeNurses https://twitter.com/wenurses/status/1167156233897480192
@WeNurses
29 August 2019 20:28
What do others think ?? #WeNurses https://twitter.com/PUNCadp/status/1167156616141127680
@wlasinclair
29 August 2019 20:28
@WeNurses Can we make more use of technology? FaceTime etc? #wenurses
@shayne_akl
29 August 2019 20:29
Ban archaic rules that separate patients from their families... #powerGoneMad #iAmNotAVisitor #familyNotVisitor #weNurses https://twitter.com/WeNurses/status/1167151200908775425
@AgencyNurse
29 August 2019 20:30
I think it can be a lonely time for some .... my thoughts are get them out of hospital ASAP ... however volunteers are surely a great help here ? #WeNurses https://twitter.com/WeNurses/status/1167156233897480192
@receivingconsnt
29 August 2019 20:30
Benefits to patients noted by Green et al (2012) inc “a release from boredom, keeping in touch with family and social life, news of the world outside the institution, reassurance you have not been forgotten or abandoned, showing others on the ward you are not alone.” #WeNurses
@shayne_akl
29 August 2019 20:30
Working with families is our job #weNurses https://twitter.com/MissyRoberts84/status/1167152666709045248
@NursingConvos
29 August 2019 20:30
What are your thoughts ? #WeNurses https://twitter.com/WeNurses/status/1167156233897480192
@WeNurses
29 August 2019 20:30
RT @shayne_akl: Ban archaic rules that separate patients from their families... #powerGoneMad #iAmNotAVisitor #familyNotVisitor #weNurses h…
@shayne_akl
29 August 2019 20:31
#weNurses https://twitter.com/sa_mom_in_uk/status/1167152641366999041
@BNULisaC
29 August 2019 20:31
@WeNurses By making sure they’re able to use phones where possible. A lot of hospitals have those tv/phone combos and outgoing calls are free! Make sure they’re working and pass the number on to relatives (with permission!) or encouraging them to use own phones #WeNurses
@WeNurses
29 August 2019 20:32
Oooh a great idea .... what are peoples thoughts on this ? #WeNurses https://twitter.com/wlasinclair/status/1167157149635698688
@wlasinclair
29 August 2019 20:32
@MissyRoberts84 @WeNurses when I visited during a prescribed visiting time (7-8pm) it was impossible to speak to a nurse or doctor so didn't get any information. More info would have helped me to help get my dad home sooner #wenurses
@wlasinclair
29 August 2019 20:32
RT @shayne_akl: Working with families is our job #weNurses https://twitter.com/MissyRoberts84/status/1167152666709045248
@MissyRoberts84
29 August 2019 20:33
@shayne_akl Part of the job! But the added pressure of 1 staff nurse for 14 patients plus families is immence! #wenurses
@PUNCadp
29 August 2019 20:33
@WeNurses Haha! You'd have to show me how to do this ?? #TechnoPhob #WeNurses
@receivingconsnt
29 August 2019 20:33
@WeNurses Great idea. Why not? Many patients have phones with them ?? #WeNurses Are there any privacy issues we need to consider for other patients?
@AgencyNurse
29 August 2019 20:33
@wlasinclair @WeNurses i think thats a fab idea Wendy ... we do have to sort out the wifi issue though ! #WeNurses https://t.co/B2CuyQldbU
@ClaireLSutton
29 August 2019 20:33
@AgencyNurse 100% this. Bring back proper day rooms. #WeNurses
@PhyllisStein2
29 August 2019 20:33
RT @WeNurses: Oooh a great idea .... what are peoples thoughts on this ? #WeNurses https://twitter.com/wlasinclair/status/1167157149635698688
@WeNurses
29 August 2019 20:33
RT @receivingconsnt: @WeNurses Great idea. Why not? Many patients have phones with them ?? #WeNurses Are there any privacy issues we need to…
@ClaireLSutton
29 August 2019 20:33
@PUNCadp @WeNurses So difficult. #WeNurses
@wlasinclair
29 August 2019 20:34
@AgencyNurse @WeNurses Spot on! even getting a phone signal is impossible in some areas! #wenurses
@AgencyNurse
29 August 2019 20:34
RT @ClaireLSutton: @AgencyNurse 100% this. Bring back proper day rooms. #WeNurses
@ClaireLSutton
29 August 2019 20:34
@WeNurses Absolutely. Charging people for “being ill” is terrible! #WeNurses
@WeNurses
29 August 2019 20:35
QUESTION 4 Rigid visiting schedules have various rationales behind them, but as a rule children wards seem to be more flexible and open. Are there lessons that can be learned from this model that can be taken through into an adult ward? #WeNurses https://t.co/xS7zhLCiEe
@AgencyNurse
29 August 2019 20:35
@wlasinclair @WeNurses arrrggh yes indeed ... it's frustrating as good free wifi could make the patients experience so much better #WeNurses
@ClaireLSutton
29 August 2019 20:36
@wlasinclair @WeNurses Fantastic idea. Consumer technology is something we could really make use of, and when done sensitively it can make a huge impact. #nhs aims to have free WiFi in all public areas could and should help #WeNurses
@NursingConvos
29 August 2019 20:36
Could we learn from childrens wards in general ward settings ? #WeNurses https://twitter.com/WeNurses/status/1167158749506805760
@receivingconsnt
29 August 2019 20:36
I was struck by the contrast when preparing to take my (adult) relative to hospital with wien I was with my child staying overnight. My presence was actively encouraged in the latter situation. #WeNurses https://twitter.com/wenurses/status/1167158749506805760
@SherringtonJean
29 August 2019 20:37
RT @receivingconsnt: @WeNurses Great idea. Why not? Many patients have phones with them ?? #WeNurses Are there any privacy issues we need to…
@receivingconsnt
29 August 2019 20:37
@wenurses I was given somewhere to ‘sleep’ next to my child and there was a small facility to make tea and coffee. Something we could learn from? #WeNurses
@AgencyNurse
29 August 2019 20:37
yes i think we can ... we seem to be stuck in 'this is way we have always done this' mode on some adult wards .... we do need to think differently #WeNurses https://twitter.com/WeNurses/status/1167158749506805760
@AgencyNurse
29 August 2019 20:38
Thank you #WeNurses https://twitter.com/SP_Duckworth/status/1167159160485621761
@ClaireLSutton
29 August 2019 20:38
@WeNurses It’s about a culture change. I think some nurses fear that open visiting could mean more pressure for them. MDT and cross branch learning from other areas may help acute adult nurses understand the benefits and pitfalls of open visiting more #WeNurses
@WeNurses
29 August 2019 20:38
Thoughts ?? could we do this on adult wards too ? #WeNurses https://twitter.com/receivingconsnt/status/1167159396989882368
@receivingconsnt
29 August 2019 20:39
@AgencyNurse Does anyone have experience of good practice when I comes to welcoming adult visitors/carers who wish to stay overnight? Are these facilities readily available? #JohnsCampaign #WeNurses
@WeNurses
29 August 2019 20:39
Soooo @WeCYPnurses could you help us to understand what works for you re visiting and why ? #WeNurses https://twitter.com/ClaireLSutton/status/1167159652808830976
@wlasinclair
29 August 2019 20:40
@AgencyNurse CYP nurses work with the whole family and welcome the family, treating them as part of the team #samegoal #wenurses
@ClaireLSutton
29 August 2019 20:40
@receivingconsnt @AgencyNurse Again, going back to when my grandma was ill. And when my dad was in a hospice. In both settings we were given comfy chairs and encouraged to stay. It was hugely beneficial to us as a family. #WeNurses
@WeNurses
29 August 2019 20:40
Does anyone have any experience here ? #WeNurses https://twitter.com/receivingconsnt/status/1167159762057912321
@receivingconsnt
29 August 2019 20:41
#WeNurses https://twitter.com/kerryhood/status/1167159489373573121
@AgencyNurse
29 August 2019 20:41
@ClaireLSutton @receivingconsnt I haven't worked in a hospital setting for a very long time ... but we used to do this whenever needed ... also offering EOLC patients relatives meals and drinks #WeNurses
@WeNurses
29 August 2019 20:42
RT @receivingconsnt: #WeNurses https://twitter.com/kerryhood/status/1167159489373573121
@receivingconsnt
29 August 2019 20:42
RT @WeNurses: Soooo @WeCYPnurses could you help us to understand what works for you re visiting and why ? #WeNurses https://twitter.com/ClaireLSutton/status/1167159652808830976
@ClaireLSutton
29 August 2019 20:42
@AgencyNurse @receivingconsnt To be fair this was 12 and 10 years ago now. Long before I did my training. But things like that stick with me, and influence how I am as a nurse. #WeNurses
@WeNurses
29 August 2019 20:43
Wow fab - thanks for sharing ... this certainly puts an interesting twist on things >> #WeNurses https://twitter.com/sphams/status/1167160651564949507
@coxc41
29 August 2019 20:43
@WeNurses 1/2 I personally don't think adult wards should be open as unfortunately visitors love ones are ill and need rest also other specialist tests eg. Physiotherapy and I feel that patients may not want to do anything if there is visitors #WeNurses
@AgencyNurse
29 August 2019 20:44
@sphams @zoepackman117 @gloshospitals gosh thats really interesting ... makes perfect sense as the more people are about for longer the less falls you would naturally have ... sounds like really fab work #WeNurses
@coxc41
29 August 2019 20:44
@WeNurses 2/2 also think could be hash on patients without family or friends #WeNurses
@WeNurses
29 August 2019 20:45
QUESTION 5 As nurses, how do we balance the needs of patients to see their family member/ visitors with the needs of those visitors and also, the needs of the ward e.g. intimate care/ examinations where it is not always appropriate for visitors to be present? #WeNurses https://t.co/AunnKasNpj
@WeNurses
29 August 2019 20:45
Good points #WeNurses https://twitter.com/coxc41/status/1167160926711271427
@WeNurses
29 August 2019 20:45
RT @coxc41: @WeNurses 2/2 also think could be hash on patients without family or friends #WeNurses
@mazp74
29 August 2019 20:45
@WeNurses @WeCYPnurses Children are happier with their parents there plus parents and relatives know them better than we do! #wenurses
@wlasinclair
29 August 2019 20:45
#WeNurses https://wendysinclair.wordpress.com/2013/11/17/a-plea-to-nurses-please-review-your-hospital-visiting-policy/
@receivingconsnt
29 August 2019 20:46
This was something picked up in the article by Green et al (2012) in the original @NursingConvos as well #WeNurses https://twitter.com/coxc41/status/1167161183985688577
@WeNurses
29 August 2019 20:46
We are very sorry to hear this and send you our thoughts at what must be a tough time for you ... but thank you for sharing this valuable insight with us #WeNurses https://twitter.com/Lindajdempster/status/1167161252180910080
@receivingconsnt
29 August 2019 20:46
RT @wlasinclair: #WeNurses https://wendysinclair.wordpress.com/2013/11/17/a-plea-to-nurses-please-review-your-hospital-visiting-policy/
@wlasinclair
29 August 2019 20:46
@WeNurses but visiting could be flexible, negotiated, and individualised #wenurses
@PUNCadp
29 August 2019 20:46
@claire_conboy @WeNurses It's so sad in the 21st century that these things aren't provided #WeNurses
@INDEPENDENT_MG
29 August 2019 20:46
@receivingconsnt @AgencyNurse The local hospital Trust is officially fully signed up to John’s campaign. But they don’t have the facilities to make it a reality. And there is no evidence that staff routinely offer it to visitors #wenurses
@paula_plt
29 August 2019 20:46
@WeNurses As a patient many times with my Crohn’s disease I used to love weekend when it was open visiting and I could spend more time with my family but when I worked on the wards I didn’t like it so much as I found it harder to get things done with visitors everywhere #wenurses
@WeNurses
29 August 2019 20:47
#wenurses https://twitter.com/WainrightTricia/status/1167161328764690432
@wlasinclair
29 August 2019 20:47
@WeNurses Individualised, flexible, negotiated visiting times #wenurses
@receivingconsnt
29 August 2019 20:47
Are people generally aware of John’s campaign? #WeNurses https://twitter.com/independent_mg/status/1167161689718054913
@WeNurses
29 August 2019 20:47
A useful piece of insight from both sides here #WeNurses https://twitter.com/paula_plt/status/1167161724216184836
@wlasinclair
29 August 2019 20:48
RT @WeNurses: A useful piece of insight from both sides here #WeNurses https://twitter.com/paula_plt/status/1167161724216184836
@AgencyNurse
29 August 2019 20:48
@INDEPENDENT_MG @receivingconsnt thats incredibly sad to hear ... hopefully its work in progress #WeNurses
@ClaireLSutton
29 August 2019 20:48
@WeNurses Confidence to be able to adequately communicate to both patients and visitors that there may be times when a visitor may have to step outside. For instance during therapy or personal care. #WeNurses
@NursingConvos
29 August 2019 20:48
Question 5 #WeNurses https://twitter.com/WeNurses/status/1167161268110856193
@PUNCadp
29 August 2019 20:49
@WeNurses I think it has to work both ways, families must understand the need for care and treatment but staff must understand how sometimes visitors can have such a positive impact on patient's lives #WeNurses
@AgencyNurse
29 August 2019 20:49
The needs of the patient should always come first .... it's ok to (politely) ask visitors to leave #WeNurses https://twitter.com/WeNurses/status/1167161268110856193
@CNSSinead
29 August 2019 20:49
@WeNurses In my opinion, nurses need to be confident to open conversations with families negotiating their involvement in the patients care. Whether they would like to come at wash times or meal times for example #WeNurses
@ClaireLSutton
29 August 2019 20:50
@receivingconsnt Nope. I’m not. But would love to hear more #WeNurses.
@WeNurses
29 August 2019 20:50
Well worth a read > #WeNurses https://twitter.com/wlasinclair/status/1167161385169690624
@WeNurses
29 August 2019 20:50
RT @wlasinclair: @WeNurses but visiting could be flexible, negotiated, and individualised #wenurses
@AgencyNurse
29 August 2019 20:50
yes this >> #WeNurses https://twitter.com/CNSSinead/status/1167162499290079236
@AgencyNurse
29 August 2019 20:51
Very well said #WeNurses https://twitter.com/CNSSinead/status/1167162499290079236
@receivingconsnt
29 August 2019 20:51
How can we ensure that visitors are aware of these expectations? When someone visits their relative are they always aware of other things happening in the clinical environment? ?? #WeNurses https://twitter.com/puncadp/status/1167162356700524545
@WeNurses
29 August 2019 20:51
yes indeed don't forget the role of the hospital chaplain #WeNurses https://twitter.com/magsbabee/status/1167162708061544460
@receivingconsnt
29 August 2019 20:52
Do we also have these conversations with the patient? ?? #WeNurses How do we ensure we know the wishes of the patient re: visiting? #WeNurses https://twitter.com/cnssinead/status/1167162499290079236
@AgencyNurse
29 August 2019 20:52
Whats a "welcome ward' ?? #Wenurses https://twitter.com/BelindaEmmens/status/1167162970037805056
@WeNurses
29 August 2019 20:52
Thoughts ?? #WeNurses https://twitter.com/rgnscot/status/1167163022705659906
@ClaireLSutton
29 August 2019 20:52
@receivingconsnt I think this is a prime example of where information needs to be openly presented in a variety of formats. Verbally, in leaflets/on posters, on admission and during a stay. Polite reinforcement of an educating message. #WeNurses
@shayne_akl
29 August 2019 20:52
That is management issue... And union issue to argue for safe staffing... Punch up not down to families #WeNurses #personAndFamilyCentredCare https://twitter.com/MissyRoberts84/status/1167158239227760640
@marialaffan
29 August 2019 20:52
Agree often made arrangements for family members to stay with loved ones/#weNurses https://twitter.com/wainrighttricia/status/1167161328764690432
@PUNCadp
29 August 2019 20:53
@AgencyNurse Many other countries think it's odd nurses wash their patients, it's a family's Jon on many countries #WeNurses
@WeNurses
29 August 2019 20:53
#WeNurses https://twitter.com/paula_plt/status/1167163285180997632
@wlasinclair
29 August 2019 20:54
#wenurses I wonder if anyone is now thinking about going back to their ward areas to discuss visiting times? Maybe time for a review of the rationale/evidence? Maybe ask patients for their thoughts?
@claire_conboy
29 August 2019 20:54
@WeNurses #WeNurses there isn't much you can do re: infrastructure however limit amount of visitors around bedside, be aware of pts who need quiet & offer space or ask visitors to leave for a bit, we ask mobile phones to be on silent, no taking photos.
@AgencyNurse
29 August 2019 20:54
@PUNCadp ooh interesting point .... and we do need to take this into account #WeNurses
@ClaireLSutton
29 August 2019 20:54
@PUNCadp @AgencyNurse Personal care, and nutrition is routinely the responsibility of visitors and family members in many parts of the world. Can be a positive, but also can be stigmatising for patients who don’t have the support available. #WeNurses
@receivingconsnt
29 August 2019 20:54
@ClaireLSutton Here you go! A campaign to not just allow cares to stay with their loved ones but to actually proactively welcome them to. #WeNurses #JohnsCampaign https://johnscampaign.org.uk/#/
@WeNurses
29 August 2019 20:55
AND FINALLY ... What are you final thoughts / point re hospital visiting? #WeNurses https://t.co/tAt89DXJxM
@NursingConvos
29 August 2019 20:55
Don't forget you can read the full Nursing Conversation ... and leave a longer response .... here > https://nursingconversations.wordpress.com/2019/06/12/whats-hot-can-we-be-flexible-with-hospital-visiting/ #WeNurses https://t.co/XE7kxIEQRY
@receivingconsnt
29 August 2019 20:55
RT @WeNurses: yes indeed don't forget the role of the hospital chaplain #WeNurses https://twitter.com/magsbabee/status/1167162708061544460
@PUNCadp
29 August 2019 20:55
@AgencyNurse Job in* #Haha We had a really interesting discussion on our lecture today about this. Different cultures have so many different things #WeNurses
@AgencyNurse
29 August 2019 20:55
oooh interesting #WeNurses https://twitter.com/BelindaEmmens/status/1167163406870335490
@shayne_akl
29 August 2019 20:55
@WeNurses Including them as partners in planning of care rather than as inconvenience to our task list #WeNurses
@receivingconsnt
29 August 2019 20:56
RT @wlasinclair: #wenurses I wonder if anyone is now thinking about going back to their ward areas to discuss visiting times? Maybe time fo…
@AgencyNurse
29 August 2019 20:56
@PUNCadp i read it as job ;D #Wenurses
@ClaireLSutton
29 August 2019 20:56
@receivingconsnt Thank you. This could be helpful, and not just for patients with dementia. #WeNurses
@PUNCadp
29 August 2019 20:57
@ClaireLSutton @AgencyNurse I'm not entirely sure how it works but it'd be harder to check skin condition etc too. You can obviously ask family members but do many of them know what to look for? #WeNurses
@KeelingJoanne
29 August 2019 20:57
@WeNurses Open visiting. Relatives and friends can be a great support and help to us all regardless of whether a patient or staff member #WeNurses
@receivingconsnt
29 August 2019 20:57
RT @WeNurses: AND FINALLY ... What are you final thoughts / point re hospital visiting? #WeNurses https://t.co/tAt89DXJxM
@NursingConvos
29 August 2019 20:58
What are your final thoughts? #WeNurses https://twitter.com/WeNurses/status/1167163784768696321
@PUNCadp
29 August 2019 20:58
@WeNurses Cop out answer here but I think it is so dependant on patient, ward, reason for being a patient etc #WeNurses
@PUNCadp
29 August 2019 20:58
@Lindajdempster @claire_conboy @WeNurses It's crazy amounts #WeNurses
@WeNurses
29 August 2019 20:58
RT @PUNCadp: @WeNurses Cop out answer here but I think it is so dependant on patient, ward, reason for being a patient etc #WeNurses
@AgencyNurse
29 August 2019 20:59
@PUNCadp @WeNurses not a cop out at all .... i think you are right :D #WeNurses
@receivingconsnt
29 August 2019 20:59
Nope not a cop out - this is a key message! It really should depend on all of these things...! #WeNurses https://twitter.com/puncadp/status/1167164546399789063
@WeNurses
29 August 2019 20:59
RT @receivingconsnt: Nope not a cop out - this is a key message! It really should depend on all of these things...! #WeNurses https://t.c…
@AgencyNurse
29 August 2019 20:59
#WeNurses > https://twitter.com/ClaireLSutton/status/1167164834322034688
@mazp74
29 August 2019 21:00
@PUNCadp @WeNurses It should always depend on the situation and the patient/family’s needs. Personalised care in an ideal world! #WeNurses
@AgencyNurse
29 August 2019 21:00
Yes indeed ... it's reframing the whole thing which is fab #WeNurses https://twitter.com/BelindaEmmens/status/1167164861274578954
@CNSSinead
29 August 2019 21:00
@ClaireLSutton @WeNurses It's about negotiating care, the family can often help as they know the patient the best. It's important to be mindful of the families needs and wishes also. In CYP we often care for the stressed and tired parent also #WeNurses
@ClaireLSutton
29 August 2019 21:00
@WeNurses Interestingly this has just appeared on my Facebook. Which is quite poignant, and relevant to tonight’s #WeNurses chat. Any thoughts? https://t.co/2lcZVwTv0e
@RachelDoubleday
29 August 2019 21:00
RT @AgencyNurse: 3 minutes to go #WeNurses https://twitter.com/WeNurses/status/1167147426395885568
@WeNurses
29 August 2019 21:01
Thats all from us for this evening .... thank you all for sharing your tweets and experiences and a HUGE BIG thank you to @receivingconsnt for starting this conversation (which is well worth a read here > https://nursingconversations.wordpress.com/2019/06/12/whats-hot-can-we-be-flexible-with-hospital-visiting/ ) #WeNurses https://t.co/NvXY9y6pBW
@NursingConvos
29 August 2019 21:01
If you want to know more about Nursing Conversations ... or perhaps even write a Nursing Conversation Starter .... click here > https://nursingconversations.wordpress.com/contact/ #WeNurses https://t.co/0pG8f5FDCt
@receivingconsnt
29 August 2019 21:01
Absolutely! And thank you for caring for us as parents when we are tired and stressed/worried about our child ?? #WeNurses https://twitter.com/cnssinead/status/1167165072113905664
@ClaireLSutton
29 August 2019 21:01
@PUNCadp @WeNurses Yeh. I’m with you on this. Like all other aspects of nursing and care, this should be individualised, person centred, and not “one size fits all” #WeNurses
@AgencyNurse
29 August 2019 21:01
Thank you all for a really fascinating tweetchat #WeNurses https://twitter.com/WeNurses/status/1167165294382669824
@AgencyNurse
29 August 2019 21:02
Huge well done @receivingconsnt for being such a fab guest this evening ... brilliant job :D #WeNurses
@paula_plt
29 August 2019 21:02
@WeNurses I would opt for longer visiting hours but not open visiting due to ward rounds and personal care as patients still need privacy and dignity. We also have protected meal times at my hospital #WeNurses @boltonnhsft
@AgencyNurse
29 August 2019 21:02
#WeNurses > https://twitter.com/BelindaEmmens/status/1167165619676098561
@CNSSinead
29 August 2019 21:02
@receivingconsnt @WeNurses Volunteers can be a fabulous resource and they could be priority when therapy animals come to visit #WeNurses
@receivingconsnt
29 August 2019 21:03
@WeNurses Thank you all it’s been a great tweet chat and thank you #WeNurses for arranging it ??
@WeNurses
29 August 2019 21:03
#WeNurses > https://twitter.com/williams_lucie/status/1167165834873229312
@PUNCadp
29 August 2019 21:03
@WeNurses @receivingconsnt Thank you ?? #WeNurses
@ClaireLSutton
29 August 2019 21:04
@WeNurses @receivingconsnt Thank you. As always it’s been thought provoking, and educational. #WeNurses
@WeNurses
29 August 2019 21:05
Next week instead of #WeNurses we will be having a #NursesActive debrief > http://www.wecommunities.org/tweet-chats/chat-details/5399 Join in next Thursday from 8pm :D https://t.co/NkTIy0ZLSq
@AgencyNurse
29 August 2019 21:05
Important to feed back in that case ... that way they will know that they are not quite there yet #WeNurses https://twitter.com/INDEPENDENT_MG/status/1167166083117256706
@AgencyNurse
29 August 2019 21:05
Woo hoo - looking forward to this next week :D #WeNurses https://twitter.com/WeNurses/status/1167166314735009793
@claire_conboy
29 August 2019 21:05
@WeNurses #WeNurses this is where communication is key. Discuss with patients & visitors, ask visitors to leave if necessary but explain why..most will respect the need for personal care, rest, medication rounds etc
@WeNurses
29 August 2019 21:05
RT @claire_conboy: @WeNurses #WeNurses this is where communication is key. Discuss with patients & visitors, ask visitors to leave if neces…
@ClaireLSutton
29 August 2019 21:06
@katb2610 @PUNCadp @AgencyNurse Agree in social care it’s a common thing, and hugely positive for people receiving care, and their loved ones. In an acute setting it can be more difficult though. But it certainly works very well across many many countries so maybe I’m just unduly cautious. #WeNurses
@shayne_akl
29 August 2019 21:07
@rgnscot @WeNurses Why do we set the rules? What does partnership, shared decision making and agency mean if fundamentals are at determination of #WeNurses?
@CNSSinead
29 August 2019 21:07
@WeNurses With open visiting times it is so important that the nurse is an advocate for their patients acute medical needs, safety and dignity. It can get overwhelming sometimes especially in a bay when the whole family come to visit. The playroom is a fabulous resource! #WeNurses
@WeNurses
29 August 2019 21:07
#WeNurses - great points https://twitter.com/CNSSinead/status/1167166845033570304
@WeNurses
29 August 2019 21:08
Thanks for sharing #WeNurses https://twitter.com/nuhpatientgroup/status/1167166995298770944
@AgencyNurse
29 August 2019 21:08
Brilliant feedback #WeNurses https://twitter.com/Diamondtrees11/status/1167167032409939968
@AgencyNurse
29 August 2019 21:08
#WeNurses https://twitter.com/katb2610/status/1167167025925500929
@WeNurses
29 August 2019 21:09
#WeNurses https://twitter.com/claire_conboy/status/1167167193240539137
@PUNCadp
29 August 2019 21:09
Another 10k on the bike whilst taking part in a fantastic #WeNurses tweet chat, where I'd have normally been lying in bed! #NursesActive https://t.co/OWmJYeabcL
@ClaireLSutton
29 August 2019 21:09
@katb2610 @PUNCadp @AgencyNurse The task itself is essentially the same. Partnership sounds like the perfect approach to me. Some people certainly prefer to receive personal care by someone they know, others dislike that and prefer it to be a professional. Open discussion, education, and partnership. #WeNurses
@wlasinclair
29 August 2019 21:10
@nuhpatientgroup @WeNurses brilliant ?? #WeNurses
@shayne_akl
29 August 2019 21:11
@Lindajdempster @WeNurses "letting me visit"... #WeNurses are missing something important if that is the power dynamic we are perpetuating... (glad you got to be with family as you should have)
@receivingconsnt
29 August 2019 21:13
Ah thank you @coxc41 for finding my initial tweet that got this started in the first place! #WeNurses https://twitter.com/receivingconsnt/status/1135636978765041665
@ClaireLSutton
29 August 2019 21:15
@katb2610 @PUNCadp @AgencyNurse I suspect I’m endlessly scarred by having to provide personal care for a close relative because ward staff had not done so. Long story, not worth going over, but has always made me very cautious about never EXPECTING a relative to provide care. Communication is key. #WeNurses
@ClaireLSutton
29 August 2019 21:17
@PUNCadp @katb2610 @AgencyNurse Unfortunately I’ve been there. And I wasn’t comfortable. However I can say that it prompted me to do my nursing. 1) if I did it for Dad I could DEFINITELY help a stranger. 2) I wanted to ensure no patient or relative was made to feel like we were. #WeNurses
@claire_conboy
29 August 2019 21:17
@WeNurses #WeNurses visiting should be available any time to all patients but visitors & patients need to also understand this is a place of work with sick people. Communicate with them & make a plan as you go.
@ClaireLSutton
29 August 2019 21:18
@katb2610 @PUNCadp @AgencyNurse On reflection it has definitely positively influenced my practice. At the time, 22 year old me was pretty mortified to be honest! #WeNurses
@shayne_akl
29 August 2019 21:20
@Lindajdempster @WeNurses Special memories... Frustrating that some #WeNurses (not you) resent family presence but would likely want their mum or child or partner to be there if they unwell... Crisis times need kindness and loved ones around
@STPHCareers
29 August 2019 21:20
Let’s go farther together. Join the St. Tammany Parish Hospital team today! http://bit.ly/32ccmcJ #HealthyNurse #WeNurses
@ClaireLSutton
29 August 2019 21:20
@katb2610 @PUNCadp @AgencyNurse There is simply no substitute for open communication and building a strong professional, therapeutic relationship with patients and those closest to them. That’s what holistic nursing is really about. #WeNurses
@CNSSinead
29 August 2019 21:21
@NursingConvos It has been amazing to be involved with this chat as both an adult and CYP nurse. I've experienced opened and closed visiting and have enjoyed hearing different people's perspectives #WeNurses




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