BARRIERS AND FACILITATORS TO EARLY MOBILISATION IN AN INTENSIVE CARE UNIT IN SINGAPORE – A NURSE’S PERSPECTIVE

Abstract

Background Early mobilisation (EM) has been a topic of interest in the medical world in recent years. It has proven to enhance patients’ recovery and bring about numerous positive outcomes. Despite its advantages, the frequency of EM is poor and seldom practised in the intensive care unit (ICU). Nurses face many challenges and difficulties along with its implementation. Similar studies were conducted in other Western countries, yet far less is known about the barriers and facilitators to EM in Asia, particularly, Singapore. With more hospitals stepping up on their EM programmes, this justifies the need for this study to aid in future planning. Aim This study aims to explore the perceptions of nurses regarding the barriers and facilitators of EM among critically ill patients in the ICU. Methods An exploratory descriptive qualitative study was conducted in a local acute tertiary Hospital. Data was collected through focus group discussions with a convenience sample of 13 ICU nurses. Recruitment ceased once data saturation was achieved. Transcripts were analysed and interpreted manually using content analysis. Findings Six main categories emerged: ‘workplace challenges’, ‘poor attitude’, ‘safety’, ‘organisational support’, ‘teamwork’ and ‘positive outcome’. Implication The findings from this study redound to the benefit of the medical research scene. Barriers and facilitators identified can be worked on and incorporated into future quality improvement projects or research to integrate EM into the nursing routine. More research is needed to explore the experiences of other healthcare personnel to obtain a deeper understanding of EM practices. Conclusion EM is a multifaceted project which demands a dynamic approach. Findings suggested the need for more support through the provision of manpower, champions, education, an established protocol and effective communication to empower nurses and further propel the progress of EM in the ICU. communication to empower nurses and further propel the progress of EM in the ICU.group discussions with a convenience sample of 13 ICU nurses. Recruitment ceased once data saturation was achieved. Transcripts were analysed and interpreted manually using content analysis. Findings Six main categories emerged: ‘workplace challenges’, ‘poor attitude’, ‘safety’, ‘organisational support’, ‘teamwork’ and ‘positive outcome’. Implication The findings from this study redound to the benefit of the medical research scene. Barriers and facilitators identified can be worked on and incorporated into future quality improvement projects or research to integrate EM into the nursing routine. More research is needed to explore the experiences of other healthcare personnel to obtain a deeper understanding of EM practices. Conclusion EM is a multifaceted project which demands a dynamic approach. Findings suggested the need for more support through the provision of manpower, champions, education, an established protocol and effective communication to empower nurses and further propel the progress of EM in the ICU.