BARRIERS TO EARLY MOBILIZATION IN CRITICAL CARE SETTINGS - A PERCEPTION BASED SURVEY AMONG PHYSICAL THERAPIST
Keywords:
Early mobilization, patients, Intensive care, Ambulation, Physical therapy Barriers, Perception, Critical care, Consequences of Bed-Rest, Mechanical ventilationAbstract
BACKGROUND AND AIM
Early mobilization practices in critical care settings are safe, efficacious
and evidently proven treatment to reduce morbidity as well as
mortality. Inactivity adversely affects pulmonary and cardiovascular
systems. Despite of widely available evidences, barriers to early
mobilization still exist in critical care settings. Hence the present study
aims to identify the barriers related to early mobilization perceived
by physiotherapist in critical care settings.
METHOD
A cross-sectional survey among 99 physiotherapists working in a
critical care setting of different tertiary care hospitals of Karachi,
Pakistan was conducted in which a self-administered questionnaire
related to perceived barriers for early mobilization was introduced.
RESULTS
The descriptive statistics revealed that 87% of physician requisition is
required for mobilization, 74% response rate was received by PT for
unawareness to identify the suitable patient for early mobilization,
and 68% showed lack of staffing resources. 56% response rate was
received regarding requirement of adequate training to facilitate
early mobilization. Moreover, lack of decision making and safety
concerns were 68% respectively.
