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[Early mobilization. Competencies, responsibilities, milestones].

P Nydahl1, M Dewes2, R Dubb3

  • 1Pflegeforschung, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Haus 31, Brunswiker Str. 10, 24105, Kiel, Deutschland. peter.nydahl@uksh.de.

Medizinische Klinik, Intensivmedizin Und Notfallmedizin
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Early mobilization in intensive care improves patient outcomes by reducing deficits and deconditioning. However, there

Keywords:
DeliriumIntensive careInterdisciplinary health teamPhysiotherapySurvey

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Area of Science:

  • Intensive care medicine
  • Interprofessional collaboration
  • Patient rehabilitation

Background:

  • Early mobilization is crucial for intensive care patients, reducing psychocognitive deficits, delirium, and deconditioning.
  • An interdisciplinary approach to early mobilization, considering various levels, is beneficial.
  • This study explored professional collaboration and task division in early mobilization.

Purpose of the Study:

  • To investigate interprofessional collaboration and task distribution in early mobilization.
  • To understand the perspectives of healthcare professionals on early mobilization practices.

Main Methods:

  • A questionnaire survey was conducted at the 25th Bremen Conference on Intensive Medicine and Nursing.
  • 120 participants from the German Early Mobilization Network meeting were invited to participate.
  • 102 questionnaires were analyzed to gather data on early mobilization practices.

Main Results:

  • Most participants acknowledged the interdisciplinary nature of early mobilization.
  • No single professional group was solely responsible for early mobilization tasks.
  • Mobilizing orally intubated patients may require two nurses and a physical therapist, with heterogeneous implementation in practice.

Conclusions:

  • A lack of consensus exists regarding collaboration, competencies, and responsibilities for early mobilization.
  • Current practices show a deficit in interprofessional communication, potentially hindering efficient knowledge utilization.
  • Further research is needed to establish clear guidelines for interprofessional early mobilization.