Mobilization of ventilated patients in the intensive care unit: An elicitation study using the theory of planned behavior

Usual Care Physiotherapy During Acute Hospitalization in Subjects Admitted to the ICU: An Observational Cohort Study

“…[52][53][54] For example, existing data show that me-chanically ventilated Australian and New Zealand subjects with H1N1 influenza were ventilated for a median (IQR) of 10 (4 -23) d 55 compared with Canadian survivors with ARDS who were ventilated for a median of 21 d. 56 It is also possible that there may be a higher perceived lack of benefit (and evidence) for mobilization during relatively short periods of intubation. 35 However, in the context of meta-analyses in support of the provision of mobilization and early rehabilitation in the ICU, 27 it is clear that increased focus should be on the translation of this evidence into practice. 35 Furthermore, it should be noted that few published studies have reported adherence to mobilization protocols during mechanical ventilation or the mobilization protocol levels achieved.…”

“…35 However, in the context of meta-analyses in support of the provision of mobilization and early rehabilitation in the ICU, 27 it is clear that increased focus should be on the translation of this evidence into practice. 35 Furthermore, it should be noted that few published studies have reported adherence to mobilization protocols during mechanical ventilation or the mobilization protocol levels achieved. It also remains unclear whether the time to first mobilization is more important than whether people mobilize during mechanical ventilation.…”

“…Several published studies have prospectively collected these data, 31,34,59 and this information should be used in future implementation designs to maximize research translation of mobilization of ventilated patients into practice. 35 The results of other empirical studies should also be used to address longstanding barriers to early mobilization in the ICU, such as renal replacement therapy delivered via vascath. 59,60 It was also impossible to tell from the medical records whether the therapy that individuals received was the maximum intensity that they could tolerate, which may be important in the evaluation and interpretation of the effects of rehabilitation.…”

“…It is therefore necessary that observational data on physiotherapy practice continue to be published 33 to facilitate examination of the consistency in international practice and potential differences between the evidence base and translation of findings into practice. 35 The objective of this study was to report the incidence of usual care physiotherapy, specifically treatment and modalities used, in a sample of subjects admitted to a single tertiary Australian ICU.…”

Early Mobilization of Patients in Intensive Care: Organization, Communication and Safety Factors that Influence Translation into Clinical Practice

“…Using the theory of planned behavior, Holdsworth and colleagues elicited attitudinal, normative and control beliefs toward early mobilization of mechanically ventilated patients [ 23 ]. A nine-item elicitation questionnaire was administered electronically to a convenience sample of 22 staff in the ICU.…”