<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_fon-2018-0043_s_006_w2aab3b7c10b1b6b1aab1c18b1Aa"><h3>Objective</h3><p>The aim of this study was to assess the management of early mobilization (EM) in Chinese intensive care units (ICUs).</p></sec><sec id="j_fon-2018-0043_s_007_w2aab3b7c10b1b6b1aab1c18b2Aa"><h3>Methods</h3><p>This survey used a cross-sectional, observational design. A total of 65 tertiary and secondary hospitals were enrolled by convenience sampling and investigated using self-designed questionnaires.</p></sec><sec id="j_fon-2018-0043_s_008_w2aab3b7c10b1b6b1aab1c18b3Aa"><h3>Results</h3><p>We identified 69 ICUs in Jiangsu, China (response rate: 94.2%). 74.2% (1,004/1,353) of the nurses and nursing managers from 65 ICUs reported mobility practice. For the mobility level, 98.1% (1,327) reported use of in-bed exercise, 5.7% (77) sitting on a side of bed, 21.7% (294) transfer to chair, and 2.4% (33) walking. The most frequently reported barriers to early mobility were unplanned extubation, nursing resource, and absence of physical therapist. Nurses’ educational backgrounds, nursing experience, the lack of nursing resources, absence of physician, and the weakness of patient were the factors that influenced ICU early rehabilitation (<italic>P</italic>&lt;0.01).</p></sec><sec id="j_fon-2018-0043_s_009_w2aab3b7c10b1b6b1aab1c18b4Aa"><h3>Conclusions</h3><p>Although implementation rates for EM in critically ill patients are high, the activity level is generally poor in most of the involved ICUs.</p></sec></abstract>

ObjectiveThe aim of this study was to assess the management of early mobilization (EM) in Chinese intensive care units (ICUs).MethodsThis survey used a cross-sectional, observational design. A total of 65 tertiary and secondary hospitals were enrolled by convenience sampling and investigated using self-designed questionnaires.ResultsWe identified 69 ICUs in Jiangsu, China (response rate: 94.2%). 74.2% (1,004/1,353) of the nurses and nursing managers from 65 ICUs reported mobility practice. For the mobility level, 98.1% (1,327) reported use of in-bed exercise, 5.7% (77) sitting on a side of bed, 21.7% (294) transfer to chair, and 2.4% (33) walking. The most frequently reported barriers to early mobility were unplanned extubation, nursing resource, and absence of physical therapist. Nurses’ educational backgrounds, nursing experience, the lack of nursing resources, absence of physician, and the weakness of patient were the factors that influenced ICU early rehabilitation (P<0.01).ConclusionsAlthough implementation rates for EM in critically ill patients are high, the activity level is generally poor in most of the involved ICUs.

Management of early mobilization in intensive care units: a multicenter cross-sectional study

Frontiers of Nursing

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

ObjectiveThe aim of this study was to assess the management of early mobilization (EM) in Chinese intensive care units (ICUs).MethodsThis survey used a...

Management of early mobilization in intensive care units: a multicenter cross-sectional study

Article Category: Original article

Published Online: Dec 31, 2018

Page range: 291 - 299

Received: Nov 16, 2017

Accepted: Feb 07, 2018

DOI: https://doi.org/10.1515/fon-2018-0043

Keywords
early mobilization, critical care, critically ill patients, management, clinical practice

© 2018 Yan-Ping Zhu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Management of early mobilization in intensive care units: a multicenter cross-sectional study

Article Category: Original article

Published Online: Dec 31, 2018

Page range: 291 - 299

Received: Nov 16, 2017

Accepted: Feb 07, 2018

DOI: https://doi.org/10.1515/fon-2018-0043

Keywordsearly mobilization, critical care, critically ill patients, management, clinical practice

© 2018 Yan-Ping Zhu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
early mobilization, critical care, critically ill patients, management, clinical practice