Journal article
Factors Nurses in the Intensive Care Unit Consider When Making Decisions About Patient Mobility
American journal of critical care, Vol.28(4), pp.281-289
07/2019
DOI: 10.4037/ajcc2019624
PMID: 31263011
Abstract
Early mobility interventions in the intensive care unit can improve patients' outcomes, yet they are not routinely implemented in many intensive care units. In an effort to identify opportunities to implement and sustain evidence-based practice, prior work has demonstrated that understanding the decision-making process of health professionals is critical for identifying opportunities to improve program implementation. Nurses are often responsible for mobilizing patients, but how they overcome barriers and make decisions to mobilize patients in the intensive care unit is not understood.
To describe processes that nurses in intensive care units use to make decisions and barriers that influence their decision-making about patient mobility.
An exploratory descriptive approach using semi-structured interviews of a purposive sample of registered nurses in 2 intensive care units at 2 hospitals was used. Interviews were transcribed and analyzed by using directed content analysis to identify categories that describe nurses' decision-making about patient mobility.
Semistructured interviews were conducted with 20 nurses in a 1-on-1 setting. Four main categories that influenced nurses' decision-making about mobility were identified in the directed content analysis: purpose of mobility, gathering information, establishing and activating the plan, and barriers to progressing the plan.
Deciding to mobilize patients in the intensive care unit is a multifaceted, individualized decision made by nurses, and numerous patient-, nurse-, and unit-related factors influence that decision. Future studies that target unit culture and interprofessional perspectives are needed.
Details
- Title: Subtitle
- Factors Nurses in the Intensive Care Unit Consider When Making Decisions About Patient Mobility
- Creators
- Anna E Krupp - University of Wisconsin–MadisonWilliam J Ehlenbach - University of Wisconsin–MadisonBarbara King - University of Wisconsin–Madison
- Resource Type
- Journal article
- Publication Details
- American journal of critical care, Vol.28(4), pp.281-289
- DOI
- 10.4037/ajcc2019624
- PMID
- 31263011
- ISSN
- 1062-3264
- eISSN
- 1937-710X
- Language
- English
- Date published
- 07/2019
- Academic Unit
- Nursing
- Record Identifier
- 9984370634802771
Metrics
11 Record Views