1162: Clinicians’ Knowledge, Attitude, and Practice of Active Mobilization in Resource-Limited Hospitals

Akinremi, Ayodele; Sanusi, Arinola; Osinaike, Babatunde; Ogwu, Susan; Arinola, Sanya

doi:10.1097/01.ccm.0000509837.99795.7d

Cited by 1 publication

(10 citation statements)

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“…Our study demonstrated that clinicians who had positive or fair attitude were three times more knowledgeable on early mobilization in ICU and this finding is supporting a previous study. 19 Over 60% of respondents had shown positive attitude to early mobilization in previous studies. 25,28 In this study, the proportions of positive, fair and negative attitude towards early mobilization were 23.4%, 60.2% and 16.4%, respectively.…”

Section: Discussionmentioning

confidence: 83%

“…Knowledge is known to guide behavioural changes and our finding is consistent with the other studies. 19,25,39 The limitations in this study were inability to determine cause-effect temporal relationships, study was exposed to social desirability bias as respondents may overreport their attitudes and relative weakness of 'YES or NO' questions to accurately assess knowledge compared to multiple choice questions. We included all healthcare professionals who were working in ICU, without power analysis of sample size calculation due to limited number of clinicians working in the ICUs.…”

Section: Discussionmentioning

confidence: 95%

“…The proportion of good knowledge was lower compared to that of previous studies which reported that the proportion of good knowledge was 66%, 61.7%, 58.2% and 50%. 19 , 24 – 26 Another study has reported 41% poor, 19% fair and 40% good knowledge. 16 However, higher proportion of poor knowledge (59.8% and 34.8%) was also reported.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, clinicians who have the experience of self-reading of guidelines/literature related to early mobilization in ICU were found two times more knowledgeable; and it is comparable to a previous study. 19 Knowledge and attitude are usually interdependent. Our study demonstrated that clinicians who had positive or fair attitude were three times more knowledgeable on early mobilization in ICU and this finding is supporting a previous study.…”

Section: Discussionmentioning

confidence: 99%

“…13,14 Commonly reported perceived barriers to early mobilization in ICU were lack of mobilization protocol, inadequate training and knowledge and negative attitude and culture among ICU clinicians. [15][16][17][18][19] There was limited research-based evidence on early mobilization in ICU in low-income countries. Therefore, the objective of this study was to assess clinicians' knowledge and attitude and associated factors towards patients' early mobilization in ICUs in tertiary hospitals in Northwest Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

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Clinicians’ knowledge and attitude towards early mobilization in intensive care units in Ethiopian tertiary hospitals: A multi-centre study

Dagnachew,

Woldegerima Berhe,

Yalew Mustofa

et al. 2023

SAGE Open Medicine

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Objectives: To assess clinicians’ knowledge, attitude and associated factors towards patients’ early mobilization in intensive care units in the tertiary hospitals in Northwest Ethiopia. Methods: A multi-centre, cross-sectional study was conducted at the tertiary hospitals in Northwest Ethiopia from April to June, 2022. Data were collected by using self-administered, structured questionnaire; ordinal logistic regression analysis was performed and associations were described in adjusted odds ratios. Results: A total of 304 clinicians were included (response rate of 89.7%). The proportions of poor, fair and good knowledge towards early mobilization in intensive care unit among clinicians were 16.8%, 57.9% and 25.3%, respectively; while that of negative, fair and positive attitude were 16.4%, 60.2% and 23.4%, respectively. Factors associated with better knowledge were being a physiotherapist (adjusted odds ratio = 2.9, confidence interval = 1.2–6.7), having a total work experience >5 years (adjusted odds ratio = 4.6, confidence interval = 1.7–12.1), having an intensive care unit work experience >5 years (adjusted odds ratio = 2.8, confidence interval = 1.1–6.8), previous in-service training (adjusted odds ratio = 1.8, confidence interval = 1.1–3.0) and reading guidelines (adjusted odds ratio = 1.9, confidence interval = 1.1–3.2). Better attitude was associated with in-service training (adjusted odds ratio = 1.9, confidence interval = 1.2–3.1), attending early mobilization courses (adjusted odds ratio = 1.8, confidence interval = 1.1–3.0), presence of mobilization advocators (adjusted odds ratio = 1.7, confidence interval = 1.0–2.8), good knowledge (adjusted odds ratio = 2.6, confidence interval = 1.2–5.8) and fair knowledge (adjusted odds ratio = 2.5, confidence interval = 1.3–4.8). Conclusion: Most of the clinicians had demonstrated fair knowledge and attitude towards early mobilization in intensive care unit. However, there were significant proportion of clinicians who had poor knowledge and negative attitude. We recommended active engagement of physiotherapists and experienced clinicians in intensive care units. Clinicians need to have self-learning habits and attend regular training/courses related to early mobilization in intensive care unit.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 95%