Investigation of barriers for early mobilization in adult intensive care unit
Keywords:
Early Mobility, Intensive Care Unit, BarriersAbstract
Introduction: The prolonged length of stay in the intensive care unit (ICU) increases the incidence of complications and is directly related to the decline in functional independence. It is known that early mobilization (EM) is safe and beneficial to the patient and can prevent or minimize complications, however it is little used due to the barriers found in the routine of the ICU. Objective: The aim of this literature review is to identify barriers to early mobilization in an adult Intensive care unit. Methodology: It is an integrative literature review, with search in Cochrane, Scielo, PeDro and PubMed databases, with articles published between 2016 and 2021, in Portuguese and English, using the terms: early mobility, Intensive care unit, barriers and their equivalents in Portuguese. Results: Twenty articles that analyzed the barriers and difficulties in early mobilization in the ICU were included. Studies show that there are several barriers to performing EM, including deep sedation, unpreparedness of the multidisciplinary team, number of professionals in the team and delirium, and many factors are subject to change, potentially interfering in the reduction of mechanical ventilation time and hospitalization and improvement in cardiorespiratory response. Conclusion: Barriers hinder the practice of EM in the ICU, however most barriers are modifiable, demonstrating that EM is feasible and safe, as it can promote improvement in functional status, reduction of MV time and time of hospitalization.
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