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

    Author(s)
    Holdsworth, Clare
    Haines, Kimberley J
    Francis, Jill J
    Marshall, Andrea
    O'Connor, Denise
    Skinner, Elizabeth H
    Griffith University Author(s)
    Marshall, Andrea
    Year published
    2015
    Metadata
    Show full item record
    Abstract
    Purpose Early mobilization in intensive care unit (ICU) is safe, feasible, and beneficial. However, mobilization frequently does not occur in practice. The study objective was to elicit attitudinal, normative, and control beliefs (barriers and enablers) toward the mobilization of ventilated patients, to inform development of targeted implementation interventions. Materials and methods A 9-item elicitation questionnaire was administered electronically to a convenience sample of multidisciplinary staff in a tertiary ICU. A snowball recruitment approach was used to target a sample size of 20 to 25. Two investigators performed ...
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    Purpose Early mobilization in intensive care unit (ICU) is safe, feasible, and beneficial. However, mobilization frequently does not occur in practice. The study objective was to elicit attitudinal, normative, and control beliefs (barriers and enablers) toward the mobilization of ventilated patients, to inform development of targeted implementation interventions. Materials and methods A 9-item elicitation questionnaire was administered electronically to a convenience sample of multidisciplinary staff in a tertiary ICU. A snowball recruitment approach was used to target a sample size of 20 to 25. Two investigators performed word count and thematic analyses independently. Themes were cross-checked by a third investigator. Results Twenty-two questionnaires were completed. Respondents wrote the most text about disadvantages. Positive attitudinal beliefs included better respiratory function, reduced functional decline, and reduced muscle wasting/weakness. The main negative attitudinal beliefs were that mobilization is perceived as time consuming and poses a risk of line dislodgement/disconnection. Positive control beliefs (enablers) included increased staff availability, positive staff attitudes, engagement, and teamwork. Negative control beliefs (barriers) included unstable patient physiology and negative workplace culture. Conclusions Intensive care unit staff expressed positive and negative attitudinal, normative, and control beliefs across the spectrum, and disadvantages were most frequently reported. Identified beliefs can be used to inform development of future interventions.
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    Journal Title
    Journal of Critical Care
    Volume
    30
    Issue
    6
    DOI
    https://doi.org/10.1016/j.jcrc.2015.08.010
    Subject
    Nursing not elsewhere classified
    Clinical Sciences
    Nursing
    Publication URI
    http://hdl.handle.net/10072/101674
    Collection
    • Journal articles

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