What are the barriers to nurses mobilising adult patients in intensive care units? An integrative review

Popoola, Melissa and Dingle, Maria and MacLaren, Julie and Dyson, Judith (2021) What are the barriers to nurses mobilising adult patients in intensive care units? An integrative review. Australian Critical Care. ISSN 1036-7314

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Abstract

Objectives
There is a need for early mobilisation of patients in intensive care units prevent acquired weaknesses which can have a long-term impact on health and quality of life. This need is not always fulfilled. We therefore sought to conduct an integrative review of international evidence to answer the question:
What are the barriers to nurses mobilising adult patients in intensive care units?

Review method used
We conducted a systematic search and thematic analysis. We were able to present a descriptive quantitative synthesis of the survey papers included.

Data sources
We searched CINAHL, MEDLINE and PsycINFO databases between 2010 and 2020 using search terms synonymous with intensive care unit and nurse and early mobilisation and barrier using Boolean operators and truncation. We completed backwards and forwards citation searches on included papers.

Results
We included seven papers which we synthesised into three themes and 13 subthemes as follows: i) organisational barriers (subthemes were staffing levels, time and workload, resources and care coordination), ii) individual barriers (subthemes were self and team safety, knowledge and training, beliefs about the consequences of early mobilisation, stress and other barriers) and iii) patient-related barriers (subthemes were medical instability/physical status, patient safety, neurological deficits and sedation and non-concordance of patients).

Conclusion
Nurses’ barriers were wide ranging and interventions to improve concordance with early mobilisation need to be tailored to address this group's specific barriers.

Item Type:	Article
Identification Number:	10.1016/j.aucc.2021.09.002
Dates:	Date Event 14 September 2021 Accepted 30 October 2021 Published Online
Uncontrolled Keywords:	Adherence, Early mobilisation, Intensive care unit, Nurses, Quality improvement
Subjects:	CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-01 - nursing (non-specific)
Divisions:	Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR)
Depositing User:	Judith Dyson
Date Deposited:	08 Oct 2021 09:58
Last Modified:	30 Oct 2023 03:00
URI:	https://www.open-access.bcu.ac.uk/id/eprint/12275

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