Acceptability of temporary suspension of visiting during norovirus outbreaks: investigating patient, visitor and public opinion

K. Currie, Lesley Price, E. Curran, D. Bunyan, C. Knussen

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Abstract

Summary

Background
Noroviruses are a leading cause of outbreaks globally and the most common cause of service disruption due to ward closures. Temporary suspension of visiting (TSV) is increasingly a recommended public health measure to reduce exposure, transmission and impact during norovirus outbreaks; however, preventing patient–visitor contact may contravene the ethos of person-centred care, and public acceptability of this measure is not known.

Aim
To investigate the acceptability of TSV during norovirus outbreaks from the perspectives of patients, visitors and the wider public.

Methods
Cross-sectional survey of patients (N = 153), visitors (N = 175) and the public (N = 224) in three diverse areas in Scotland. Health Belief Model constructs were applied to understand ratings of acceptability of TSV during norovirus outbreaks, and to determine associations between these levels and various predictor variables.

Findings
The majority (84.6%) of respondents indicated that the possible benefits of TSV are greater than the possible disadvantages. Conversely, the majority (70%) of respondents disagreed that TSV ‘is wrong as it ignores people's rights to have contact with family and friends’. The majority (81.6%) of respondents agreed that TSV would be more acceptable if exceptions were made for seriously ill or dying patients. Correlational analysis demonstrated that overall acceptability was positively related to perceived severity (r = 0.65), identified benefits (r = 0.54) and implementing additional communication strategies (r = 0.60); acceptability was negatively related to potential barriers (r = -0.49).

Conclusions
There is greater service user and public support for the use of TSV than concerns around impinging upon patients' rights to have visitors. TSV should be considered as an acceptable infection control measure that could be implemented consistently during norovirus outbreaks.
Original languageEnglish
Pages (from-to)121-126
Number of pages6
JournalJournal of Hospital Infection
Volume93
Early online date6 Jan 2016
DOIs
Publication statusPublished - Jun 2016

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Visitors to Patients
Norovirus
Public Opinion
Disease Outbreaks
Suspensions
Scotland
Patient Rights
Infection Control
Public Health
Communication

Keywords

  • Norovirus outbreak
  • suspended visiting
  • acceptability
  • health beliefs

Cite this

@article{44a736c2e89c41bc84d79c7e08a1a57b,
title = "Acceptability of temporary suspension of visiting during norovirus outbreaks: investigating patient, visitor and public opinion",
abstract = "SummaryBackgroundNoroviruses are a leading cause of outbreaks globally and the most common cause of service disruption due to ward closures. Temporary suspension of visiting (TSV) is increasingly a recommended public health measure to reduce exposure, transmission and impact during norovirus outbreaks; however, preventing patient–visitor contact may contravene the ethos of person-centred care, and public acceptability of this measure is not known.AimTo investigate the acceptability of TSV during norovirus outbreaks from the perspectives of patients, visitors and the wider public.MethodsCross-sectional survey of patients (N = 153), visitors (N = 175) and the public (N = 224) in three diverse areas in Scotland. Health Belief Model constructs were applied to understand ratings of acceptability of TSV during norovirus outbreaks, and to determine associations between these levels and various predictor variables.FindingsThe majority (84.6{\%}) of respondents indicated that the possible benefits of TSV are greater than the possible disadvantages. Conversely, the majority (70{\%}) of respondents disagreed that TSV ‘is wrong as it ignores people's rights to have contact with family and friends’. The majority (81.6{\%}) of respondents agreed that TSV would be more acceptable if exceptions were made for seriously ill or dying patients. Correlational analysis demonstrated that overall acceptability was positively related to perceived severity (r = 0.65), identified benefits (r = 0.54) and implementing additional communication strategies (r = 0.60); acceptability was negatively related to potential barriers (r = -0.49).ConclusionsThere is greater service user and public support for the use of TSV than concerns around impinging upon patients' rights to have visitors. TSV should be considered as an acceptable infection control measure that could be implemented consistently during norovirus outbreaks.",
keywords = "Norovirus outbreak, suspended visiting, acceptability, health beliefs",
author = "K. Currie and Lesley Price and E. Curran and D. Bunyan and C. Knussen",
note = "Accepted by journal on 1 December 2015 article published open access",
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Acceptability of temporary suspension of visiting during norovirus outbreaks : investigating patient, visitor and public opinion. / Currie, K.; Price, Lesley; Curran, E.; Bunyan, D.; Knussen, C.

In: Journal of Hospital Infection, Vol. 93, 06.2016, p. 121-126.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Acceptability of temporary suspension of visiting during norovirus outbreaks

T2 - investigating patient, visitor and public opinion

AU - Currie, K.

AU - Price, Lesley

AU - Curran, E.

AU - Bunyan, D.

AU - Knussen, C.

N1 - Accepted by journal on 1 December 2015 article published open access

PY - 2016/6

Y1 - 2016/6

N2 - SummaryBackgroundNoroviruses are a leading cause of outbreaks globally and the most common cause of service disruption due to ward closures. Temporary suspension of visiting (TSV) is increasingly a recommended public health measure to reduce exposure, transmission and impact during norovirus outbreaks; however, preventing patient–visitor contact may contravene the ethos of person-centred care, and public acceptability of this measure is not known.AimTo investigate the acceptability of TSV during norovirus outbreaks from the perspectives of patients, visitors and the wider public.MethodsCross-sectional survey of patients (N = 153), visitors (N = 175) and the public (N = 224) in three diverse areas in Scotland. Health Belief Model constructs were applied to understand ratings of acceptability of TSV during norovirus outbreaks, and to determine associations between these levels and various predictor variables.FindingsThe majority (84.6%) of respondents indicated that the possible benefits of TSV are greater than the possible disadvantages. Conversely, the majority (70%) of respondents disagreed that TSV ‘is wrong as it ignores people's rights to have contact with family and friends’. The majority (81.6%) of respondents agreed that TSV would be more acceptable if exceptions were made for seriously ill or dying patients. Correlational analysis demonstrated that overall acceptability was positively related to perceived severity (r = 0.65), identified benefits (r = 0.54) and implementing additional communication strategies (r = 0.60); acceptability was negatively related to potential barriers (r = -0.49).ConclusionsThere is greater service user and public support for the use of TSV than concerns around impinging upon patients' rights to have visitors. TSV should be considered as an acceptable infection control measure that could be implemented consistently during norovirus outbreaks.

AB - SummaryBackgroundNoroviruses are a leading cause of outbreaks globally and the most common cause of service disruption due to ward closures. Temporary suspension of visiting (TSV) is increasingly a recommended public health measure to reduce exposure, transmission and impact during norovirus outbreaks; however, preventing patient–visitor contact may contravene the ethos of person-centred care, and public acceptability of this measure is not known.AimTo investigate the acceptability of TSV during norovirus outbreaks from the perspectives of patients, visitors and the wider public.MethodsCross-sectional survey of patients (N = 153), visitors (N = 175) and the public (N = 224) in three diverse areas in Scotland. Health Belief Model constructs were applied to understand ratings of acceptability of TSV during norovirus outbreaks, and to determine associations between these levels and various predictor variables.FindingsThe majority (84.6%) of respondents indicated that the possible benefits of TSV are greater than the possible disadvantages. Conversely, the majority (70%) of respondents disagreed that TSV ‘is wrong as it ignores people's rights to have contact with family and friends’. The majority (81.6%) of respondents agreed that TSV would be more acceptable if exceptions were made for seriously ill or dying patients. Correlational analysis demonstrated that overall acceptability was positively related to perceived severity (r = 0.65), identified benefits (r = 0.54) and implementing additional communication strategies (r = 0.60); acceptability was negatively related to potential barriers (r = -0.49).ConclusionsThere is greater service user and public support for the use of TSV than concerns around impinging upon patients' rights to have visitors. TSV should be considered as an acceptable infection control measure that could be implemented consistently during norovirus outbreaks.

KW - Norovirus outbreak

KW - suspended visiting

KW - acceptability

KW - health beliefs

U2 - 10.1016/j.jhin.2015.12.011

DO - 10.1016/j.jhin.2015.12.011

M3 - Article

VL - 93

SP - 121

EP - 126

JO - Journal of Hospital Infection

JF - Journal of Hospital Infection

SN - 0195-6701

ER -