Barriers to implement early mobilization by nursing in adult ICUs:A systematic review and summary analysis
10.3760/cma.j.cn211501-20200925-04009
- VernacularTitle:成年人ICU早期活动护理实施阻碍因素的系统评价与汇总分析
- Author:
Xiaoping YI
1
;
Hong GUO
;
Yanling SHEN
;
Shaohua GONG
;
Heng YANG
;
Nannan HU
;
Shanshan CHEN
;
Jiaxin FANG
Author Information
1. 北京中医药大学护理学院 100029
- Keywords:
ICU;
Early mobilization;
Systematic review;
Barriers;
Critical illness;
Nursing
- From:
Chinese Journal of Practical Nursing
2021;37(34):2708-2714
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review the barriers encountered by nursing staff in the implementation of early activities in adult ICU units.Methods:A systematic search was conducted on CNKI, Wanfang Database, VIP Database, China Biomedical Database, PumMed, Web of Science, Cochrane Library and EMBASE for the research on the obstacles of early activity nursing implementation in adult ICU from the establishment of the database to July 2020, and the final integrated analysis of the included literature was carried out.Results:A total of 26 articles were included, and 59 obstacles in 5 categories were integrated, including 6 kinds of technical level, 13 kinds of organizational culture level, 7 kinds of personnel level, 4 kinds of structural level, and 29 kinds of 6 sub categories of patients level. The most frequent obstacles were unstable condition of patients, sedation or continuous deep sedation, low staffing level, disturbance of consciousness of patients, insufficient equipment related to early activities, and low willingness or compliance of patients to participate.Conclusion:The nursing staff are facing with many obstacles in guiding and assisting ICU adult patients to carry out early activities. It is necessary to formulate modified policies aiming at changeable factors in order to promote the application of early activities in adult ICU units.
