Perspectives of patients, relatives and nurses on rooming-in for adult patients: A scoping review of the literature

• Published in: Applied nursing research 2020-10, Vol.55, p.151320-151320, Article 151320
• Main Authors: van der Heijden, Marianne J.E., van Mol, Margo M.C., Witkamp, Erica F.E., Osse, Robert Jan, Ista, Erwin, van Dijk, Monique
• Format: Article
• Language: English
• Subjects: Family participation; Nursing; Person-centered care; Rooming-in; Scoping review
• ISSN: 0897-1897; 1532-8201
• DOI: 10.1016/j.apnr.2020.151320

To explore the perspectives of patients, their relatives and nurses on rooming-in for adult patients. The practice of having family stay overnight with an adult patient in hospital is quite new. To support rooming-in programs, the perspectives from all stakeholders should be taken into account. All types of studies on rooming-in in adult healthcare settings were included in this scoping review. Rooming-in has been defined as the practice where ‘family members or trusted others are facilitated to continuously stay with the patient and are provided with facilities to sleep in the patient's room’. Seven studies were included: one randomized controlled trial, three qualitative studies, and three correspondence articles. Generally, patients felt safe in the presence of a family member, but could also feel restricted in their freedom and privacy. Family members saw a benefit for the patient, considered rooming-in a moral duty, and were happy to help. Nonetheless, family members reported rooming-in as physically and emotionally stressful. Nurses described that patients were less anxious and more easily adjusted to the hospital environment. The reviewed studies suggest that patients, family members, and nurses have both positive and negative experiences with rooming-in. The concept of rooming-in varies from continuous presence and involvement of relatives to one overnight stay in the patient's room. Each interpretation has its own implications for policy, design, guidelines and feasibility of rooming-in. Nursing staff should be included in decision-making processes for this practice. •Clear protocols on the practical sides of rooming-in are missing.•The roles of family members and nurses need to be clearly defined.•Rooming-in can have a positive effect on patients' wellbeing.•Rooming-in can be a physical and emotional burden to family members.