Real experience of multidisciplinary medical and nursing staff on early mobilization of ICU patients: a Meta-synthesis of qualitative research
10.3760/cma.j.cn115682-20210508-02008
- VernacularTitle:多学科医务人员对ICU患者早期活动的真实体验：质性研究的Meta整合
- Author:
Sijia ZHAO
1
;
Xiaoxia ZHU
;
Jinxia JIANG
;
Man XU
Author Information
1. 同济大学附属第十人民医院急诊科，上海 200072
- Keywords:
Intensive Care Unit;
Nurses;
Early ambulation;
Experience;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2022;28(4):463-470
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve the qualitative research on real experience of multidisciplinary medical and nursing staff on early mobilization of Intensive Care Unit (ICU) patients, and conduct a Meta-synthesis.Methods:The qualitative research on the cognition and experience of multidisciplinary medical and nursing staff on the early mobilization of ICU patients was searched by computer in Web of Science, PubMed, CINAHL, Embase, the Cochrane Library, PsycINFO, Ovid, Medline, China National Knowledge Infrastructure (CNKI) , WanFang Data, VIP and China Biology Medicine disc. The search time limit was from the establishment of the database to April 2021. After evaluating the quality of the studies, the results were integrated using the collective synthesis method in the Meta-synthesis of the Joanna Briggs Institute (JBI) Evidence-based Health Care Center in Australia.Results:A total of 14 studies were included, and54 main results, 13 new categories, and 3 synthesis results were extracted. The results of the synthesis were the perception of the importance of early mobilization, the obstacles to the implementation of early mobilization, and the facilitating factors for the implementation of early mobilization.Conclusions:Multidisciplinary medical and nursing staff collaboration plays an important role in the implementation of early mobilization for ICU patients, but it is currently facing many obstacles in clinical practice. In the future, multidisciplinary collaboration strategies should be explored based on the actual situation and characteristics of domestic ICU, and the clinical development and continuous implementation of early mobilization should be actively promoted to effectively improve the prognosis of patients.
