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Barriers and enablers to the development and implementation of early mobility programs for children in the pediatric
Shanna Thompson1,2, Christine Cassidy3,4, Shelley McKibbon4,5
1Pediatric Critical Care, IWK Health Centre, Halifax, NS, Canada.
Insights
This scoping review maps literature on barriers and enablers for early mobility programs in pediatric intensive care units. Understanding these factors is crucial for implementing effective early mobilization strategies for critically ill children.
Area of Science:
- Pediatric Critical Care Medicine
- Rehabilitation Therapy
Background:
- Early mobility in pediatric intensive care units (PICUs) is vital for improving patient outcomes and reducing intensive care unit-acquired complications.
- Despite evidence supporting early mobilization, its routine implementation in pediatric settings faces significant obstacles.
- Optimizing patient outcomes and minimizing treatment side effects are increasing priorities in critical care.
Purpose of the Study:
- To systematically review and map existing literature on barriers and facilitators to developing and implementing early mobility programs in PICUs.
- To identify key factors influencing the uptake of early mobility interventions for critically ill children.
Main Methods:
- A comprehensive scoping review methodology was employed.
- Searches were conducted across six databases and gray literature sources, including studies published in English and French after 1980.
- Data extraction and synthesis focused on identifying barriers and enablers relevant to early mobility program development and implementation.
Main Results:
- The review synthesizes identified barriers and enablers from the current literature.
- Key themes related to program development and implementation challenges and successes are highlighted.
- Findings provide a landscape of the existing evidence base.
Conclusions:
- Identifying and addressing barriers is essential for successful early mobility program implementation in PICUs.
- Facilitators can be leveraged to promote the adoption of evidence-based early mobility practices.
- Further research and targeted strategies are needed to overcome obstacles and enhance early mobility uptake in pediatric critical care.
Objective:
The objective of this scoping review is to gather and map the current literature associated with barriers and enablers related to the development and implementation of an early mobility program in pediatric intensive care units.
Introduction:
As care for critically ill patients has evolved, strategies to optimize patient outcomes and reduce the side effects of treatment have become a rising priority for clinicians, patients, and their families. Early mobilization of patients with critical illness is the only evidence-based intervention that decreases intensive care unit-acquired weakness; it may also minimize intensive care unit-acquired delirium. Early mobility in the pediatric setting has many obstacles, and routine uptake of early mobility practice has lagged.
Inclusion Criteria:
This review will consider literature related to the barriers and enablers to the development and/or implementation of early mobility programs in pediatric intensive care units. The review will target programs designed for children and youth from birth to 18 years who have been admitted to a pediatric intensive care unit.
Methods:
This scoping review will search six databases and several sources of unpublished/gray literature. Studies published in English and French will be included. The search will be restricted to publications after 1980. Data will be extracted using a tool developed by the reviewers. The data extracted will be presented in a tabular manner and highlight the key findings related to the objectives of this review.
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