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- Title
Perceived Factors Influencing Early Mobilization of Mechanically Ventilated Patients Among Critical Care Nurses.
- Authors
Bilodeau, Charles; Gallagher, Frances; Tanguay, Andréanne
- Abstract
Purpose/goals: Early mobilization of mechanically ventilated patients remains challenging for critical care nurses. Understanding perceived barriers and facilitators is a key component of successful implementation of an early mobility program in a clinical setting. Session description: Early mobilization of intensive care patients is recommended to prevent muscle wasting, delirium, and subsequent long-term complications. However, bed rest remains common practice, in part because of institutional, nurse- and patient-related barriers. This session focuses on the results of an online survey of 237 intensive care nurses in Quebec aimed at describing factors facilitating or impeding delivery of early mobilization to mechanically ventilated patients in the intensive care setting. Most cited barriers, including hemodynamic instability, inappropriate analgesia, lack of equipment or training, and heavy workload, are addressed. Factors associated with report of higher levels of mobilization (e.g., protocol, mobility champion, interdisciplinary ward round, physical therapist availability) and multiple targeted strategies for successful implementation of an early mobility program are also discussed. The results emphasize the need to shift intensive care unit culture towards making early mobility a priority for nurses. Learning outcomes: 1. Describe the factors perceived as facilitating or impeding early mobilization of mechanically ventilated patients by intensive care nurses. 2. Identify strategies for successful implementation of early mobilization interventions in clinical practice.
- Subjects
QUEBEC (Province); SURVEYS; INTENSIVE care nursing; RESEARCH methodology; PATIENTS; POSTERS; MECHANICAL ventilators; EARLY ambulation (Rehabilitation)
- Publication
Canadian Journal of Critical Care Nursing, 2017, Vol 28, Issue 2, p52
- ISSN
2368-8653
- Publication type
Article