A Culture of Early Mobilization in Adult Intensive Care Units: Perspective and Competency of Physicians

被引:2
作者
Albarrati, Ali [1 ]
Aldhahi, Monira I. [2 ]
Almuhaid, Turki [3 ]
Alnahdi, Ali [1 ]
Alanazi, Ahmed S. [4 ]
Alqahtani, Abdulfattah S. [1 ]
Nazer, Rakan I. [5 ]
机构
[1] King Saud Univ, Coll Appl Med Sci, Rehabil Sci Dept, POB 10219, Riyadh 11433, Saudi Arabia
[2] Princess Nourah Bint Abdulrahman Univ, Coll Hlth & Rehabil Sci, Dept Rehabil Sci, POB 84428, Riyadh 11671, Saudi Arabia
[3] Prince Mohammed Bin Abdulaziz Hosp, Minist Hlth, Riyadh 14214, Saudi Arabia
[4] Taibah Univ, Coll Med Rehabil Sci, Dept Phys Therapy, Medina 42353, Saudi Arabia
[5] King Saud Univ, Coll Med, Cardiac Sci Dept, Riyadh 11421, Saudi Arabia
关键词
physician's knowledge; adult intensive care unit; early mobilization; health facilities; ambulation; patient care; CRITICALLY-ILL PATIENTS; ICU; REHABILITATION; KNOWLEDGE; GUIDELINES;
D O I
10.3390/healthcare12131300
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Early mobility (EM) is vital in the intensive care unit (ICU) to counteract immobility-related effects. A multidisciplinary approach is key, as it requires precise initiation knowledge. However, physicians' understanding of EM in adult ICU settings remains unexplored. This study was conducted to investigate the knowledge and clinical competency of physicians working in adult ICUs toward EM. Methods: This cross-sectional study enrolled 236 physicians to assess their knowledge of EM. A rigorously designed survey comprising 30 questions across the demographic, theoretical, and clinical domains was employed. The criteria for knowledge and competency were aligned with the minimum passing score (70%) stipulated for physician licensure by the medical regulatory authority in Saudi Arabia. Results: Nearly 40% of the respondents had more than 5 years of experience. One-third of the respondents received theoretical knowledge about EM as part of their residency training, and only 4% of the respondents attended formal courses to enhance their knowledge. Almost all the respondents (95%) stated their awareness of EM benefits and its indications and contraindications and considered it safe to mobilize patients on mechanical ventilators. However, 62.3% of the respondents did not support EM for critically ill patients on mechanical ventilators until weaning. In contrast, 51.7% of respondents advised EM for agitated patients with RASS > 2. Only 113 (47.9%) physicians were competent in determining the suitability of ICU patients for EM. For critically ill patients who should be mobilized, nearly 60% of physicians refused to initiate EM. Conclusions: This study underscores insufficient practical knowledge of ICU physicians about EM criteria, which leads to suboptimal decisions, particularly in complex ICU cases. These findings emphasize the need for enhanced training and education of physicians working in adult ICU settings to optimize patient care and outcomes in critical care settings.
引用
收藏
页数:11
相关论文
共 25 条
[1]  
Adler Joseph, 2012, Cardiopulm Phys Ther J, V23, P5
[2]   Knowledge, Attitudes, and Perceived Barriers of Healthcare Providers toward Early Mobilization of Adult Critically Ill Patients in Intensive Care Unit [J].
Akhtar, Pooja M. ;
Deshmukh, Priyanka K. .
INDIAN JOURNAL OF CRITICAL CARE MEDICINE, 2021, 25 (05) :512-518
[3]  
Akinremi AA, 2020, ANN MED HEALTH SCI R, V10, P778
[4]  
Brower Roy G, 2009, Crit Care Med, V37, pS422, DOI 10.1097/CCM.0b013e3181b6e30a
[5]   Early physiotherapy in the respiratory intensive care unit [J].
Clini, E ;
Ambrosino, N .
RESPIRATORY MEDICINE, 2005, 99 (09) :1096-1104
[6]   Early Ambulation Among Hospitalized Heart Failure Patients Is Associated With Reduced Length of Stay and 30-Day Readmissions [J].
Fleming, Lisa M. ;
Zhao, Xin ;
DeVore, Adam D. ;
Heidenreich, Paul A. ;
Yancy, Clyde W. ;
Fonarow, Gregg C. ;
Hernandez, Adrian F. ;
Kociol, Robb D. .
CIRCULATION-HEART FAILURE, 2018, 11 (04)
[7]  
Fontela Paula Caitano, 2018, Rev. bras. ter. intensiva, V30, P187, DOI [10.5935/0103-507x.20180037, 10.5935/0103-507X.20180037, 10.5935/0103-507x.20180037]
[8]   Early Mobilization of Patients in Intensive Care: Organization, Communication and Safety Factors that Influence Translation into Clinical Practice [J].
Hodgson, Carol L. ;
Capell, Elizabeth ;
Tipping, Claire J. .
CRITICAL CARE, 2018, 22
[9]   An introduction to power and sample size estimation [J].
Jones, SR ;
Carley, S ;
Harrison, M .
EMERGENCY MEDICINE JOURNAL, 2003, 20 (05) :453-458
[10]  
Koo Karen K Y, 2016, CMAJ Open, V4, pE448, DOI 10.9778/cmajo.20160021