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dc.contributor.authorHoldsworth, Clare
dc.contributor.authorHaines, Kimberley J
dc.contributor.authorFrancis, Jill J
dc.contributor.authorMarshall, Andrea
dc.contributor.authorO'Connor, Denise
dc.contributor.authorSkinner, Elizabeth H
dc.date.accessioned2018-01-22T01:34:35Z
dc.date.available2018-01-22T01:34:35Z
dc.date.issued2015
dc.identifier.issn0883-9441
dc.identifier.doi10.1016/j.jcrc.2015.08.010
dc.identifier.urihttp://hdl.handle.net/10072/101674
dc.description.abstractPurpose 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.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherW.B. Saunders Co.
dc.relation.ispartofpagefrom1243
dc.relation.ispartofpageto1250
dc.relation.ispartofissue6
dc.relation.ispartofjournalJournal of Critical Care
dc.relation.ispartofvolume30
dc.subject.fieldofresearchNursing not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode111099
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1110
dc.titleMobilization of ventilated patients in the intensive care unit: An elicitation study using the theory of planned behavior
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorMarshall, Andrea


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