The perceived barriers and facilitators to implementation of early mobilisation within a multicentre, phase 3 randomised controlled trial: A qualitative process evaluation study

Lago, Alessandra Fabiane; Nicholson, Angus J.; Sivasuthan, Janani; Gastaldi, Ada Clarice; Bowen, Alicia; Stratton, Anne; Tipping, Claire J; Campbell, Courtney; Pound, Gemma; McCleary, Kate; Thomas, Lauren; Nickels, Marc; Paykel, Melanie; Shealy, Morag; Hodgson, Carol

doi:10.1016/j.aucc.2021.06.008

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…In addition, effective pain management is another important factor influencing postoperative early mobilization. 25 The JBI evidence-based summary states that patients should receive optimal pain management to facilitate early mobilization. In fact, postoperative multimodal analgesia was recommended in the latest ERAS guideline in 2018.…”

Section: Discussionmentioning

confidence: 99%

“…Health professionals should not pursue mobilization goals without considering safety, including unstable vital signs, fatigue, and patient complaints of dizziness, nausea, and vomiting. In addition, effective pain management is another important factor influencing postoperative early mobilization 25 . The JBI evidence‐based summary states that patients should receive optimal pain management to facilitate early mobilization.…”

Section: Discussionmentioning

confidence: 99%

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Factors impacting early mobilization according to the Enhanced Recovery After Surgery guideline following gastrointestinal surgery: A prospective study

Zhang,

Wu,

Wang

et al. 2024

Geriatrics Gerontology Int

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AimEvidence shows that early mobilization according to the Enhanced Recovery After Surgery guideline promotes postoperative recovery in gastrointestinal cancer patients undergoing gastrointestinal surgery. However, compliance with the guideline in clinical settings remains low. This study aimed to investigate the factors influencing early mobilization after surgery.MethodsA prospective research design was used. Data from 470 patients with gastrointestinal cancer who underwent gastrointestinal surgery between February 2021 and July 2022 were collected.ResultsMore than half (53.6%) of the patients met the criteria for early mobilization. Females (odds ratio [OR], 1.53; 95% confidence interval [CI], 1.02–2.29), age 〉70 years (OR, 1.76; 95% CI, 1.09–2.86), low level of education (OR, 1.98; 95% CI, 1.12–3.95), and ≥4 catheters (OR, 1.86; 95% CI, 1.25–2.76) were barriers to early mobilization.ConclusionsSex, age, education, and the number of catheters were found to be significant factors associated with non‐early mobilization after gastrointestinal surgery. Geriatr Gerontol Int 2024; ••: ••–••.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors impacting early mobilization according to the Enhanced Recovery After Surgery guideline following gastrointestinal surgery: A prospective study

Zhang,

Wu,

Wang

et al. 2024

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

“…Exploring the influencing factors in the practice process is crucial. In the ICU, early mobilization typically involves interdisciplinary collaboration; therefore, clinical practice can be affected by the competence of medical staff 11 . ICU nurses generally play an important role in understanding care coordination needs, aggregating and disseminating information, employing resources, promoting team cohesion, and engaging in situation‐based practices throughout the course of early mobilization 12 .…”

Section: Introductionmentioning

confidence: 99%

Impact of knowledge, attitudes and self‐reported practices of nurses on early mobilization of mechanically ventilated patients in the ICU

Sui,

Gong,

Zhuang

2024

Nursing in Critical Care

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ObjectivesTo analyse the knowledge, attitudes, and practices of intensive care unit (ICU) nurses regarding the early mobilization of mechanically ventilated patients and to explore the effects of these practices.DesignA multicentre cross‐sectional study.SettingICU nurses in five tertiary hospitals in Zhejiang Province, China, were selected by convenience sampling and invited to complete an online questionnaire between 1 June 2021 and 15 June 2021.Main Outcome MeasuresSociodemographic data and the knowledge, attitudes, and practices of ICU nurses regarding early mobilization.ResultsA total of 296 valid questionnaires were collected, for a response rate of approximately 77.5%. The average scores for knowledge, attitudes, and practices of ICU nurses regarding the early mobilization of mechanically ventilated patients were 42.7 ± 7.4, 34.3 ± 6.5, and 47.1 ± 6.5, respectively, which were good scores. Quantile regressions showed that at the 25% and 50% quartiles, increases in knowledge and attitude scores resulted in increases in practice scores (p < .001); however, at the 75% quartile, increases in knowledge scores did not result in practice score increases (t = 0.000, p = .999); moreover, there was still a 0.5‐point increase in practice scores per 1‐point increase in attitude scores (t = 0.500, p < .001).ConclusionsThe knowledge, attitudes, and self‐reported practices of ICU nurses were good, although there is room for improvement. Considering that the influence of attitudes on practice improvement is more important than knowledge, ICU managers should promote knowledge transformation, strengthen attitudes, and adopt comprehensive measures to promote the early mobilization of mechanically ventilated patients in the ICU.Clinical Practice RelevanceTo optimize the early mobilization of mechanically ventilated patients in the ICU, introducing multipronged support strategies based on the knowledge and attitudes of ICU nurses is recommended to promote the implementation of such practices.

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Impact of the health policy for interdisciplinary collaborative rehabilitation practices in intensive care units: A difference-in-differences analysis in Japan

Yasaka,

Ohbe,

Igarashi

et al. 2024

Intensive and Critical Care Nursing

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The perceived barriers and facilitators to implementation of early mobilisation within a multicentre, phase 3 randomised controlled trial: A qualitative process evaluation study

Cited by 5 publications

References 20 publications

Factors impacting early mobilization according to the Enhanced Recovery After Surgery guideline following gastrointestinal surgery: A prospective study

Factors impacting early mobilization according to the Enhanced Recovery After Surgery guideline following gastrointestinal surgery: A prospective study

Impact of knowledge, attitudes and self‐reported practices of nurses on early mobilization of mechanically ventilated patients in the ICU

Impact of the health policy for interdisciplinary collaborative rehabilitation practices in intensive care units: A difference-in-differences analysis in Japan

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