What factors affect implementation of early rehabilitation into intensive care unit practice? A qualitative study with clinicians

Journal of Critical Care

Volumn 38, Issue , 2017, Pages 137-143

  Parry, Selina M ^a   Remedios, Louisa ^a   Denehy, Linda ^a,b   Knight, Laura D ^c   Beach, Lisa ^c   Rollinson, Thomas C ^b   Berney, Sue ^b   Puthucheary, Zudin A ^d   Morris, Peter ^e   Granger, Catherine L ^a,b,c  

^a UNIVERSITY OF MELBOURNE   (Australia)

^b AUSTIN HOSPITAL   (Australia)

^c ROYAL MELBOURNE HOSPITAL   (Australia)

^d UNIVERSITY COLLEGE HOSPITAL   (United Kingdom)

^e UNIVERSITY OF KENTUCKY   (United States)

Author keywords

Barriers; Implementation, recovery of function; Intensive care; Qualitative; Rehabilitation

Indexed keywords

ADULT; ARTICLE; CLINICAL PRACTICE; CONTROLLED STUDY; COOPERATION; DELIRIUM; FAMILY; FEMALE; HEALTH EDUCATION; HOSPITAL PERSONNEL; HUMAN; INTENSIVE CARE UNIT; MALE; MOTIVATION; NURSING STAFF; PATIENT CARE; PATIENT SAFETY; PHYSICIAN ATTITUDE; PHYSIOTHERAPIST; PHYSIOTHERAPY; PROFESSIONAL KNOWLEDGE; PROGNOSIS; QUALITATIVE RESEARCH; REHABILITATION CARE; SEDATION; SEMI STRUCTURED INTERVIEW; CRITICAL ILLNESS; HEALTH PERSONNEL ATTITUDE; INFORMATION PROCESSING; INTENSIVE CARE; NONBIOLOGICAL MODEL; ORGANIZATION AND MANAGEMENT; VICTORIA; YOUNG ADULT;

ADULT; ATTITUDE OF HEALTH PERSONNEL; CRITICAL CARE; CRITICAL ILLNESS; FEMALE; FOCUS GROUPS; HUMANS; INTENSIVE CARE UNITS; MALE; MODELS, ORGANIZATIONAL; PATIENT CARE TEAM; PHYSICAL THERAPY MODALITIES; VICTORIA; YOUNG ADULT;

EID: 85013499939     PISSN: 08839441     EISSN: 15578615     Source Type: Journal    
DOI: 10.1016/j.jcrc.2016.11.005     Document Type: Article

References (36)

1. Herridge, M.S., Tansey, C.M., Matté, A., Tomlinson, G., Diaz-Granados, N., Cooper, A., et al. Functional disability 5 Years after acute respiratory distress syndrome. N Engl J Med 364:14 (2011), 1293–1304.
2. Needham, D.M., Davidson, J., Cohen, H., Hopkins, R.O., Weinert, C., Wunsch, H., et al. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Crit Care Med 40 (2012), 502–509.
3. Pandharipande, P.P., Girard, T.D., Jackson, J.C., Morandi, A., Thompson, J.L., Pun, B.T., et al. Long-term cognitive impairment after critical illness. N Engl J Med 369:14 (2013), 1306–1316.
4. Hough, C.L., Improving function during and after critical care. Curr Opin Crit Care 19:5 (2013), 488–495.
5. Morris, P.E., Goad, A., Thompson, C., Taylor, K., Harry, B., Passmore, L., et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med 36:8 (2008), 2238–2243.
6. Kayambu, G., Boots, R., Paratz, J., Physical therapy for the critically ill in the ICU: a systematic review and meta-analysis. Crit Care Med 41:6 (2013), 1543–1554.
7. Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Nigos, C., Pawlik, A.J., Esbrook, C.L., et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet 373:9678 (2009), 1874–1882.
8. Morris, Z.S., Wooding, S., Grant, J., The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med 104:12 (2011), 510–520.
9. Grimshaw, J.M., Eccles, M.P., Lavis, J.N., Hill, S.J., Squires, J.E., Knowledge translation of research findings. Implement Sci 7:1 (2012), 1–17.
10. Lau, R., Stevenson, F., Ong, B.N., Dziedzic, K., Treweek, S., Eldridge, S., et al. Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews. Implement Sci 11:1 (2016), 1–39.
11. Woolf, S.H., The meaning of translational research and why it matters. JAMA 299:2 (2008), 211–213.
12. Iwashyna, T., Survivorship will be the defining challenge of critical care in the 21st century—editorial. Ann Intern Med 153 (2010), 204–205.
13. Puthucheary, Z., Harridge, S., Hart, N., Skeletal muscle dysfunction in critical care: wasting, weakness, and rehabilitation strategies. Crit Care Med 38:10 Suppl. (2010), S676–S682.
14. Parry, S., Puthucheary, Z., The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiol Med, 2015, 4(16).
15. National Institute for Health and Clinical Excellence, Rehabilitation after critical illness, NICE clinical guideline. 2009, National Institute for Health and Clinical Excellence, 83.
16. Agency for Clinical Innovation, Physical activity and movement: a guideline for critically ill adults. Lyons, N., (eds.) SHPN, 2014.
17. Berney, S.C., Rose, J.W., Bernhardt, J., Denehy, L., Prospective observation of physical activity in critically ill patients who were intubated for more than 48 hours. J Crit Care 30:4 (2015), 658–663.
18. Berney, S., Harrold, M., Webb, S., Seppelt, I., Patman, S., Thomas, P., et al. Intensive care unit mobility practices in Australia and New Zealand: a point prevalence study. Crit Care Resusc 15:4 (2013), 260–265.
19. Nydahl, P., Ruhl, A., Bartoszek, G., Dubb, R., Filipovic, S., Flohr, H.-J., et al. Early mobilization of mechanically ventilated patients: a 1-day point-prevalence study in Germany. Crit Care Med 42:5 (2014), 1178–1186.
20. Jolley, S., Moss, M., Needham, D., Caldwell, E., Morris, P., Miller, R., et al. Point prevalence study of mobilization practices for acute respiratory failure patients in the United States. Crit Care Med, 2016 [Accepted: in press].
21. Dubb, R., Nydahl, P., Hermes, C., Schwabbauer, N., Toonstra, A., Parker, A., et al. Barriers and strategies for early mobilization in intensive care units. Ann Am Thorac Soc, 2016 [Epub ahead of print].
22. Tong, A., Sainsbury, P., Craig, J., Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 19:6 (2007), 349–357.
23. Barber, E., Everard, T., Holland, A., Tipping, C., Bradley, S., Hodgson, C., Barriers and facilitators to early mobilisation in intensive care: a qualitative study. Aust Crit Care 28:4 (2015), 177–182.
24. Winkelman, C., Peereboom, K., Staff-perceived barriers and facilitators. Crit Care Nurse 30:2 (2010), S13–S16.
25. Eakin, M., Ugbah, L., Arnautovic, T., PArker, A., Needham, D., Implementing and sustaining an early rehabilitation program in a medical intensive care unit: a qualitative analysis. J Crit Care 30:4 (2015), 698–704.
26. Williams, N., Flynn, M., An exploratory study of physiotherapists' views of early rehabilitation in critically ill patients. Physiother Pract Res 34:2 (2013), 93–102.
27. Hsieh, H.F., Shannon, S.E., Three approaches to qualitative content analysis. Qual Health Res 15:9 (2005), 1277–1288.
28. Creswell, J., Qualitative inquiry and research design: choosing among five traditions. 1998, SAGE Publications, London.
29. Guest, G., Bunce, A., Johnson, L., How many interviews are enough? An experiment with data saturation and variability. Field Methods 18:1 (2008), 59–82.
30. Kayambu, G., Boots, R.J., Paratz, J.D., Early rehabilitation in sepsis: a prospective randomised controlled trial investigating functional and physiological outcomes. The i-PERFORM Trial (Protocol Article). BMC Anesthesiol, 11, 2011, 21.
31. TEAM Study Investigators, Hodgson, C., Bellomo, R., Berney, S., Bailey, M., Buhr, H., et al. Early mobilization and recovery in mechanically ventilated patients in the ICU: a bi-national, multi-centre prospective cohort study. Crit Care, 19, 2015, 81.
32. Hodgson, C., Stiller, K., Needham, D., Tippng, C., Harrold, M., Baldwin, C., et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Crit Care, 18(6), 2014, 658, 10.1186/s13054-014-0658-y (Dec 4).
33. Michie, S., van Stralen, M., West, R., The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci, 6(42), 2011.
34. Needham, D.M., Korupolu, R., Zanni, J.M., Pradhan, P., Colantuoni, E., Palmer, J.B., et al. Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement project. Arch Phys Med Rehabil 91:4 (2010), 536–542.
35. Needham, D.M., Korupolu, R., Zanni, J.M., Pradhan, P., Colantuoni, E., Palmer, J.B., et al. Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement project. Arch Phys Med Rehabil, 2010, 91(4).
36. Engel, H.J., Tatebe, S., Alonzo, P.B., Mustille, R.L., Rivera, M.J., Physical therapist-established intensive care unit early mobilization program: quality improvement project for critical care at the University of California San Francisco Medical Center. Phys Ther 93:7 (2013), 975–985.