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Patient as active p...
Patient as active partner - clue to successful early mobilization in intensive care
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- Söderberg, Annika (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Sweden ; Department of Physiotherapy, Skaraborg Hospital, Skövde, Sweden
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- Karlsson, Veronika, 1972- (author)
- Högskolan i Skövde,Forskningsmiljön hälsa, hållbarhet och digitalisering,Institutionen för hälsovetenskaper,Välbefinnande vid långvariga hälsoproblem (WeLHP), Wellbeing in Long-term Health Problems
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- Fagevik Olsén, Monika, 1964 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Sweden
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- Thelandersson, A. (author)
- Section for Research and Education, Kungälv Hospital, Sweden
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- Johansson, A. (author)
- Research and Development Centre, Skaraborg Hospital, Skövde, Sweden
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(creator_code:org_t)
- Taylor & Francis Group, 2023
- 2023
- English.
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In: Physiotherapy Theory and Practice. - : Taylor & Francis Group. - 0959-3985 .- 1532-5040.
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Abstract
Subject headings
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- BackgroundThe evidence for the benefits of early mobilization in intensive care is growing. Early mobilization differs from most other interventions in intensive care since the patient's participation is requested. What kind of challenges this entails for the intensive care clinicians, and what is crucial in successful early mobilization from their perspective, is sparsely explored and was therefore the purpose of this study.MethodsSemi-structured interviews were held with 17 intensive care clinicians, seven nurses, five assistant nurses and five physiotherapists. The interviews were analyzed with a phenomenographic methodology.FindingsFour descriptive categories emerged: 1) Taking responsibility; 2) Taking the patient's perspective; 3) Time or not time to mobilize; and 4) The "know-how" of early mobilization. Early mobilization was perceived as an important and crucial part of intensive care. It includes positioning and sensory stimulation, which could be used to re-orientate the patient and prevent delirium. The patients' experiences were considered individual with a mix of strong emotions. Despite the stated significance of early mobilization, different conceptions were expressed about the right time, some of them based on concerns for the patient, and some due to safety concerns. In the optimal active mobilization to upright positions there was an emphasis on careful preparation and patient involvement, including negotiation and active participation.ConclusionsThe importance of early mobilization is indisputable. Successful early mobilization is achieved by applying a person-centered approach, involving the patient as an active partner. Early mobilization comprises positioning and sensory stimulation and should be included in the daily planning of patient care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Barriers
- clinician
- early mobilization
- intensive care
- person-centredness
- critically-ill patients
- person-centered care
- barriers
- unit
- icu
- phenomenography
- facilitators
- exercise
- delirium
- outcomes
- Rehabilitation
- Barriers
- Wellbeing in long-term health problems (WeLHP)
Publication and Content Type
- ref (subject category)
- art (subject category)
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