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Mobilisation of post-ICU patients - a crucial teamwork between physiotherapists and nurses at surgical wards: a
Katinka Siesage1,2, Anna Schandl1,2, Matheo Johansson3
1Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.
Purpose:
To describe experiences of the ward nurse in relation to extended physiotherapy and mobilising of post-ICU patients.
Methods:
Individual semi-structured interviews were conducted with 17 registered nurses working on surgical wards in a Swedish regional hospital. Qualitative content analysis was used to analyse the data. The study was reported according to the consolidated criteria for reporting qualitative research (COREQ).
Results:
The study findings are presented in three categories: challenges to mobilising post-ICU patients, shared responsibility facilitates mobilisation, and extended physiotherapy is beneficial for patients' wellbeing. Nurses stated that they lacked knowledge and skills to perform the safe mobilisation of post-ICU patients due to their complex medical history and needs. Collaboration with physiotherapists was perceived to facilitate mobilisation and to be beneficial for patients' wellbeing outcome.
Conclusions:
The study indicates that post-ICU patients are at risk of remaining immobilised because ward nurses find mobilisation too complex to conduct without support from physiotherapists. Shared responsibility through multi-professional teamwork regarding patient rehabilitation is perceived as contributing the knowledge required to achieve safe mobilisation that enhances autonomy and physical ability in post-ICU patients.
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