Facilitators &amp; barriers and practices of early mobilization in critically ill burn patients: A survey

Dikkema, Y.; Mouton, Leonora J.; Cleffken, B.; Jong, Evelien de; Baar, Margriet E. van; Pijpe, Anouk; Niemeijer, Anuschka S.; Schans, Cees P. van der; Scholten, S.M.J.H.; Steen-Dieperink, M. van der; Nieuwenhuis, M.K.

doi:10.1016/j.burns.2022.08.023

Cited by 3 publications

(2 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Perceived barriers were mainly related to patient factors, most often hemodynamic and medical instabilities, which was consistent with previous findings [ 19 , 20 , 21 ]. An unstable circulatory status was the most frequent barrier to rehabilitation in the unplanned admission group.…”

Section: Discussionsupporting

confidence: 91%

Current Practice and Barriers to the Implementation of Mobilization in ICUs in Japan: A Multicenter Prospective Cohort Study

Sakuramoto

Nakamura

Ouchi

et al. 2023

JCM

View full text Add to dashboard Cite

Background: Limited information is currently available on the barriers to implementing mobilization at the bedside for critically ill patients. Therefore, we investigated the current practice of and barriers to the implementation of mobilization in intensive care units (ICU). Methods: A multicenter prospective observational study was conducted at nine hospitals between June 2019 and December 2019. Consecutive patients admitted to the ICU for more than 48 h were enrolled. Quantitative data were analyzed descriptively, and qualitative data were analyzed thematically. Results: The 203 patients enrolled in the present study were divided into 69 elective surgical patients and 134 unplanned admission patients. The mean periods of time until the initiation of rehabilitation programs after ICU admission were 2.9 ± 7.7 and 1.7 ± 2.0 days, respectively. Median ICU mobility scales were five (Interquartile range: three and eight) and six (Interquartile range: three and nine), respectively. The most common barriers to mobilization in the ICU were circulatory instability (29.9%) and a physician’s order for postoperative bed rest (23.4%) in the unplanned admission and elective surgery groups, respectively. Conclusions: Rehabilitation programs were initiated later for unplanned admission patients and were less intense than those for elective surgical patients, irrespective of the time after ICU admission.

show abstract

Section: Discussionsupporting

confidence: 91%

Current Practice and Barriers to the Implementation of Mobilization in ICUs in Japan: A Multicenter Prospective Cohort Study

Sakuramoto

Nakamura

Ouchi

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…Eighteen percent of the respondents complained about the same problem and reported that they were not sufficiently trained to mobilize ventilated patients. 26 In summary, these findings show that education and training around early mobilization in an interdisciplinary setting is urgently needed and should be promoted more strongly.…”

Section: Discussionmentioning

confidence: 89%

The Historical Evolvement of Movement and Exercise Training in Patients with Severe Burns and Their Potential Effects on Grafts, Scars, and Function

Kleinhapl,

Knappskog,

Finnerty

et al. 2024

Semin Plast Surg

View full text Add to dashboard Cite

Exercise training for burn patients has become a major part of rehabilitation programs within the last decades. One of the main reasons for prolonged and long-term increased morbidity and mortality in this population is a persistent catabolic state with subsequent loss of lean body mass (LBM). A combination of resistance and aerobic exercises as well as stretching has shown to improve physical function by enhancing cardiopulmonary fitness, LBM, and strength and thus leading to ameliorated long-term outcomes of patients recovering from burns. In this literature review, we show an outline of the implementation of exercise training over the last decades into standardized care for patients with burns.

show abstract

Challenges experienced by cardiac intensive care nurses during first out‐of‐bed patient mobilization after open‐heart surgery: A descriptive phenomenological qualitative study

Ünver,

Yildirim,

Akbal

et al. 2024

Journal of Advanced Nursing

View full text Add to dashboard Cite

AimTo investigate the potential challenges experienced by cardiac intensive care unit (ICU) nurses in the first out‐of‐bed patient mobilization after open‐heart surgery and propose solutions.DesignA qualitative study design using the descriptive phenomenological approach.MethodsIndividual face‐to‐face interviews were conducted via a widely used videoconferencing program between 28 July and 22 October 2022, in the tertiary cardiac ICU of a university hospital. Nurses who had at least 1 year of cardiac ICU experience and actively participating in patient care were included. The COREQ criteria and checklist were followed in this investigation and the data were analysed by using the ATLAS.ti 8.0.FindingsNurses reported that they experience challenges when mobilizing patients, such as patients' fear, reluctance or resistance; nurses having insufficient experience, strength or lack of team members. Despite these challenges, they highlighted some positive outcomes of mobilization, such as feeling happy, reinforced team communication and nurse–patient relationship. The nurses also suggested some facilitators, such as patient motivation and an explanation of the process.ConclusionNurses experience various patient‐related and nurse‐related challenges during the first out‐of‐bed mobilization of the patient after open‐heart surgery. It is recommended that healthcare institutions should implement effective strategies to address the staffing shortages and to support nurse motivation to ensure adequate nursing care.ImpactThis study provides valuable insights into the existing literature by examining the potential challenges and strategies of the first out‐of‐bed patient mobilization in the cardiac ICU. It shows that patient education and organizational adaptations are effective ways to overcome the challenges. It also suggests that motivating and informing patients before the mobilization can make the process easier. Moreover, it reveals that successful patient mobilization makes nurses happy, improves team communication and strengthens nurse–patient relationship.Patient and Public Involvement and EngagementNo patient or public contribution.

show abstract

Facilitators & barriers and practices of early mobilization in critically ill burn patients: A survey

Cited by 3 publications

References 38 publications

Current Practice and Barriers to the Implementation of Mobilization in ICUs in Japan: A Multicenter Prospective Cohort Study

Current Practice and Barriers to the Implementation of Mobilization in ICUs in Japan: A Multicenter Prospective Cohort Study

The Historical Evolvement of Movement and Exercise Training in Patients with Severe Burns and Their Potential Effects on Grafts, Scars, and Function

Challenges experienced by cardiac intensive care nurses during first out‐of‐bed patient mobilization after open‐heart surgery: A descriptive phenomenological qualitative study

Contact Info

Product

Resources

About