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Titre : | Provider Beliefs Regarding Early Mobilization in the Pediatric Intensive Care Unit (2018) |
Auteurs : | Christine L. Joyce ; Cosme Taipe ; Brittany Sobin ; et al. |
Type de document : | Article |
Dans : | Journal of Pediatric Nursing (Vol. 38, January/February 2018) |
Article en page(s) : | p. 15-19 |
Note générale : | DOI: https://doi.org/10.1016/j.pedn.2017.10.003 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Pédiatrie ; Personnel de santé ; Soins intensifs |
Mots-clés: | Unités de soins intensifs ; Lever précoce |
Résumé : |
Purpose
Critically ill patients are at risk for short and long term morbidity. Early mobilization (EM) of critically ill adults is safe and feasible, with improvement in outcomes. There are limited studies evaluating EM in pediatric critical care patients. Provider beliefs and concerns must be evaluated prior to EM implementation in the pediatric intensive care unit (PICU). Design and Methods A survey was distributed to PICU providers assessing beliefs and concerns with regards to EM of PICU patients. Results Seventy-one providers responded. Most staff believed EM would be beneficial. The largest perceived benefits were decreased length of both stay and mechanical ventilation. The largest perceived concerns were risk of both endotracheal tube and central venous catheter dislodgement. Surveyed clinicians felt significantly more comfortable mobilizing the oldest as compared to the youngest patients (p Conclusion There is clear benefit to the EM of adult ICU patients, with evidence supporting its safety and feasibility. As pediatric patients pose different challenges, it is imperative to understand provider concerns prior to the implementation of EM. Our research demonstrates similar concerns between adult and pediatric programs, with the addition of significant concern surrounding EM in very young children. Practice Implications Understanding pediatric specific concerns with regards to EM will allow for the proper development and implementation of pediatric EM programs, allowing us to assess safety, feasibility, and ultimately outcomes. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |