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Mobilisation in critical care: a concept analysis.
1University of Central Florida, College of Nursing, Orlando, FL 32816, United States. Christina.amidei@ucf.edu
Intensive & Critical Care Nursing
|February 14, 2012
Summary
Mobilisation in critical care is an interdisciplinary therapy to improve patient outcomes. Further research is needed to define its parameters and address psychological aspects.
Area of Science:
- Critical Care Medicine
- Nursing Science
- Rehabilitation Therapy
Background:
- Mobilisation is a key nursing concern in critical care.
- Practices surrounding mobilisation vary significantly among nurses due to conceptual differences.
- The term 'mobilisation' is complex and its application in practice is not fully understood.
Purpose of the Study:
- To analyze the concept of mobilisation within the critical care setting.
- To explore the complexities and variations in mobilisation practices.
- To identify areas for further development of the mobilisation concept.
Main Methods:
- An evolutionary concept analysis methodology was employed.
- Extensive literature searches were conducted across multiple databases (Medline, CINAHL, Cochrane, PsycInfo) from 1966 to present.
- Keywords included 'mobilisation,' 'mobility,' and 'passive exercise,' resulting in the analysis of 61 relevant articles.
Main Results:
- Mobilisation is an interdisciplinary, goal-directed therapy aimed at facilitating movement and enhancing patient outcomes.
- It encompasses both physical and psychological domains and requires energy expenditure.
- Significant variations exist in how different disciplines apply mobilisation, with undefined therapy parameters and limited exploration of energy expenditure in nursing literature.
Conclusions:
- The concept of mobilisation requires further refinement, especially in the critical care context.
- Barriers to effective mobilisation and its psychological domain need more detailed investigation.
- Continued concept analysis can inform clinical practice and direct future research efforts in critical care mobilisation.
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