ORCID Profile
0000-0002-2815-8673
Current Organisation
Prince of Songkla University
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Publisher: Elsevier BV
Date: 05-2022
DOI: 10.1016/J.IJNURSTU.2022.104210
Abstract: Early mobilisation is beneficial to minimise complications and promote the recovery and physical function of critically ill adult patients. An interprofessional team approach may assist in early mobilisation of these patients however, adopting this approach may be challenging and optimal strategies to support early mobilisation are unknown. Understanding specific implementation strategies is required to effectively support its implementation in the critically ill adult patient population. To synthesise and critically analyse the literature on interprofessional team approaches to early mobilisation in critically ill adult patients. An integrative review METHODS: The methodology of this integrative review was guided by Whittemore and Knafl's approach. A literature search of online databases including Cumulative Index to Nursing and Allied Health Literature, Excerpta Medica database, Medical Literature Analysis and Retrieval System Online, Physiotherapy Evidence Database, and PubMed was conducted on 13 April 2020 and updated on 2 August 2021. No date limits were applied. Backward citation searching of included articles was used to identify additional articles. Articles were screened by title and abstract following pre-specified inclusion and exclusion criteria, and then by full text using the same criteria. Data describing an interprofessional team approach to early mobilisation were extracted into a specifically designed form. Quality appraisal was undertaken using the Quality Improvement Minimum Quality Criteria Set for quality improvement studies and the Joanna Briggs Institute's critical appraisal tools was used for cohort studies, retrospective studies, and randomised controlled trials. A narrative synthesis was conducted to integrate and summarise the findings. Thirty-seven studies were included. All studies described team compositions, roles, and responsibilities. Multiple strategies were used to support the implementation of a team approach to early mobilisation, most of which included the use of instruction tools, team meetings/team rounds, staff education, and knowledge sharing, and safety criteria. Improving patient's readiness to perform early mobilisation using clinical interventions was also described in 17 studies. Crucial factors that can help or hinder the implementation of an interprofessional team approach to early mobilisation were identified including organisational structure, staff attitudes and staff abilities. An interprofessional team approach to early mobilisation may be a useful strategy to improve early mobilisation practice however, team compositions, roles, and responsibilities to support its implementation in in idual setting is recommended. Multiple strategies and clinical interventions should be used to overcome barriers for implementing an interprofessional team approach to early mobilisation in critically ill adult patients. This review was registered into PROSPERO International prospective register of systematic review (CRD42020179943). Use of an interprofessional team approach to improve early mobilisation practice in adult critically ill patients.
Publisher: Wiley
Date: 15-03-2023
DOI: 10.1111/JOCN.16685
Abstract: To explore healthcare professionals' perceptions of the feasibility and acceptability of family engagement in early mobilisation for adult critically ill patients. Early mobilisation is beneficial to minimise intensive care unit acquired‐weakness in critically ill patients and family engagement can help with meeting early mobilisation goals, but it is not widely practiced. Understanding healthcare professionals' perceptions of feasibility and acceptability of family engagement in early mobilisation of adult critically ill patients is required to inform future implementation strategies to promote early mobilisation. A descriptive qualitative study. Face‐to‐face, in idual, semi‐structured interviews were conducted between August 2021 and March 2022 with healthcare professionals working in two intensive care units in Australia. The interviews were analysed using the inductive content analysis, and descriptive statistics were used to summarise participant characteristics. The COREQ checklist was followed when reporting this study. Eleven ICU nurses, five physiotherapists and four physicians participated in the interviews. Three main categories were identified: (i) healthcare professionals' readiness, (ii) mediators of engagement and (iii) foundations for successful implementation. Most participants demonstrated a positive attitude towards an implementation of family engagement in early mobilisation for adult critically ill patients however, capability and capacity of healthcare professionals, family members' willingness, availability and readiness and the care context were considered factors that could influence the successful implementation. From the perspectives of healthcare professionals, family engagement in early mobilisation is feasible and acceptable to enact but implementation is influenced by contextual factors including, healthcare professionals' capability and capacity and family members' willingness, availability and readiness. Collaborative teamwork and preparing family members and healthcare professionals are needed to support this practice. The findings provide important information to further identify potential strategies of family engagement in early mobilisation and to help and mitigate factors that impede implementation.
Publisher: Wiley
Date: 25-09-2023
DOI: 10.1111/NICC.12979
No related grants have been discovered for sasithorn mukpradab.