Development of a team collaborative protocol for early mobilisation of ICU patients with mechanical ventilation:based on the theory of interprofessional collaborative team development
10.3969/j.issn.1671-8283.2025.03.006
- VernacularTitle:基于跨专业协作团队发展理论的ICU机械通气患者早期活动团队协作方案的构建
- Author:
Xueqin WANG
1
;
Ying LÜ
;
Qinghua ZHAO
;
Chuanlin ZHANG
;
Jie MI
Author Information
1. 重庆医科大学附属第一医院护理部,重庆,400016
- Publication Type:Journal Article
- Keywords:
theory of interprofessional collaborative team development;
multidisciplinary;
early mobilisation;
intensive care unit;
mechanical ventilation;
Delphi method
- From:
Modern Clinical Nursing
2025;24(3):39-47
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a team collaborative protocol,based on the theory of the development of interprofessional collaborative team development(DICT),for early mobilisation of the patients with mechanical ventilation in the intensive care unit(ICU),hence to provide a standardised guidance on a multidisciplinary team with nurses as coordinators to implement the early mobilisation for ICU patients with mechanical ventilation and to improve the efficiency in patient mobilisation.Methods In September 2023,a preliminary draft of the collaborative team protocol based on ICTD was developed for early mobilisation of ICU patients with mechanical ventilation,based on literature review and current situation analysis.The status and influencing factors of multidisciplinary collaboration in early mobilisation for the patients with mechanical ventilation were identified.DICT framework was employed to develop the initial draft of protocol.From September to November 2023,Delphi expert consultation was employed and two rounds of expert consultation had been conducted before the final version of the protocol was drafted.Results A total of 21 experts participated in both rounds of consultation,with a 100.00%effective response rate of the questionnaires.Fifteen suggestions for modification were advised by the experts.The expert authority coefficient was 0.898,and the average coefficients of variation for the items from the two rounds of consultation were(0.14±0.05)and(0.12±0.06),respectively.The Kendall coordination coefficients for the two rounds were 0.198(P<0.001)and 0.256(P<0.001),respectively.The final protocol included 3 primary items(assessment and exploration,collaboration and integration,feedback and adjustment),13 secondary items and 57 tertiary items.Conclusion The team collaborative protocol for early mobilisation of ICU patients with mechanical ventilation,based on the DICT theory,is scientifically reliable.It provides a guidance and a reference for multidisciplinary teams in implementation of early mobilisation for ICU patients with mechanical ventilation..
