The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.
Barriers and Strategies for Early Mobilization of Patients in Intensive Care Units
Abstract
Early mobilization of patients in the intensive care unit (ICU) is safe, feasible, and beneficial. However, implementation of early mobility as part of routine clinical care can be challenging. The objective of this review is to identify barriers to early mobilization and discuss strategies to overcome such barriers. Based on a literature search, we synthesize data from 40 studies reporting 28 unique barriers to early mobility, of which 14 (50%) were patient-related, 5 (18%) structural, 5 (18%) ICU cultural, and 4 (14%) process-related barriers. These barriers varied across ICUs and within disciplines, depending on the ICU patient population, setting, attitude, and ICU culture. To overcome the identified barriers, over 70 strategies were reported and are synthesized in this review, including: implementation of safety guidelines; use of mobility protocols; interprofessional training, education, and rounds; and involvement of physician champions. Systematic efforts to change ICU culture to prioritize early mobilization using an interprofessional approach and multiple targeted strategies are important components of successfully implementing early mobility in clinical practice.
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Schweickert, W. D., Pohlman, M. C., Pohlman, A. S., Nigos, C., Pawlik, A. J., Esbrook, C. L., Spears, L., Miller, M., Franczyk, M., Deprizio, D., et al. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60658-9 · Cited by 3,339
Early intensive care unit mobility therapy in the treatment of acute respiratory failure*
Morris, P. E., Goad, A., Thompson, C., Taylor, K., Harry, B., Passmore, L., Ross, A., Anderson, L., Baker, S., Sanchez, M., et al. (2008) · Critical Care Medicine · doi:10.1097/ccm.0b013e318180b90e · Cited by 1,349
Early activity is feasible and safe in respiratory failure patients*
Bailey, P., Thomsen, G. E., Spuhler, V. J., Blair, R., Jewkes, J., Bezdjian, L., Veale, K., Rodriquez, L., & Hopkins, R. O. (2007) · Critical Care Medicine · doi:10.1097/01.ccm.0000251130.69568.87 · Cited by 865
Improving communication in the ICU using daily goals
Pronovost, P., Berenholtz, S., Dorman, T., Lipsett, P. A., Simmonds, T., & Haraden, C. (2003) · Journal of Critical Care · doi:10.1053/jcrc.2003.50008 · Cited by 659
Hodgson, C. L., Stiller, K., Needham, D. M., Tipping, C. J., Harrold, M., Baldwin, C. E., Bradley, S., Berney, S., Caruana, L. R., Elliott, D., et al. (2014) · Critical Care · doi:10.1186/s13054-014-0658-y · Cited by 657
Self-citationPhysical Complications in Acute Lung Injury Survivors: A Two-Year Longitudinal Prospective Study
Fan, E., Dowdy, D. W., Colantuoni, E., Mendez-Tellez, P. A., Sevransky, J. E., Shanholtz, C., Dennison Himmelfarb, C. R., Desai, S. V., Ciesla, N., Herridge, M. S., et al. (2014) · Critical Care Medicine · doi:10.1097/ccm.0000000000000040 · Cited by 615
Self-citationEarly Mobilization in the Intensive Care Unit: A Systematic Review
Adler, J., & Malone, D. (2012) · Cardiopulmonary Physical Therapy Journal · doi:10.1097/01823246-201223010-00002 · Cited by 528
Balas, M. C., Vasilevskis, E. E., Olsen, K. M., Schmid, K. K., Shostrom, V., Cohen, M. Z., Peitz, G., Gannon, D. E., Sisson, J., Sullivan, J., et al. (2014) · Critical Care Medicine · doi:10.1097/ccm.0000000000000129 · Cited by 526
Physical Therapy for the Critically Ill in the ICU: A Systematic Review and Meta-Analysis*
Kayambu, G., Boots, R., & Paratz, J. (2013) · Critical Care Medicine · doi:10.1097/ccm.0b013e31827ca637 · Cited by 438
Brower, R. G. (2009) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181b6e30a · Cited by 387 · cited 2×
“The success of these strategies at overcoming barriers was classified as follows: (1) objective measurement (defined as having”
Cited by
Why do we fail to deliver evidence-based practice in critical care medicine?
Weiss, C. H. (2017) · Current Opinion in Critical Care · doi:10.1097/mcc.0000000000000436 · Cited by 37
Metadata
- Authors
- Dubb, R., Nydahl, P., Hermes, C., Schwabbauer, N., Toonstra, A., Parker, A. M., Kaltwasser, A., & Needham, D. M.
- Venue
- Annals of the American Thoracic Society
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-05-01
- Volume
- 13
- Issue
- 5
- Pages
- 724-730
- ISSN
- 2325-6621 (ISSN-L)
- 2329-6933
- OpenAlex
- W2270070340
- Cited by
- 437
- References
- 52
- FWCI
- 23.92
- Type
- journal article
- Language
- en
- Open access
- closed
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- The paper
- Dubb, R., Nydahl, P., Hermes, C., Schwabbauer, N., Toonstra, A., Parker, A. M., Kaltwasser, A., & Needham, D. M. (2016). Barriers and Strategies for Early Mobilization of Patients in Intensive Care Units. Annals of the American Thoracic Society. https://doi.org/10.1513/annalsats.201509-586cme
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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