| Authors | Parry, SM Remedios, L Denehy, L Knight, LD Beach, L Rollinson, TC Berney, S Puthucheary, ZA Morris, P Granger, CL |
|---|---|
| Type | Journal Article (Original Research) |
| Journal | Journal of Critical Care |
| PubMed ID | 27902947 |
| Year of Publication | 2017 |
| URL | https://www.ncbi.nlm.nih.gov/pubmed/27902947 |
| DOI | http://dx.doi.org/10.1016/j.jcrc.2016.11.005 |
| Abstract | AbstractPurpose To identify the barriers and enablers that influence clinicians' implementation of early rehabilitation in critical care. Materials and Methods Qualitative study involving 26 multidisciplinary participants who were recruited using purposive sampling. Four focus groups were conducted using semi-structured questions to explore attitudes, beliefs and experiences. Data were transcribed verbatim and thematic analysis was performed. Results Six themes emerged: 1) the clinicians' expectations and knowledge (including rationale for rehabilitation, perceived benefits and experience); 2) the evidence for and application of rehabilitation (including beliefs regarding when to intervene); 3) patient factors (including prognosis, sedation, delirium, cooperation, motivation, goals and family); 4) safety considerations (including physiological stability and presence of devices or lines); 5) environmental influences (staffing, resources, equipment, time and competing priorities); and 6) culture and teamwork. Key strategies identified to facilitate rehabilitation included addressing educational needs for all multi-disciplinary team members; supporting junior nursing staff; and potential expansion of physiotherapy staffing hours to closer align with the 24-hour patient care model. Conclusions Key barriers to implementation of early rehabilitation in critical care are diverse and include both clinician and healthcare system related factors. Research targeted at bridging this evidence-practice gap is required to improve provision of rehabilitation. |
http://www.ibas.org.au/what-we-do/publications/3872899
Interstitial lung disease (ILD) is a chronic lung condition that causes stiff lungs and restricts sufferers from taking a deep breath. Exercise in a gym, such as walking or riding a bike, can help make...
Sleep apnea is a condition where breathing is abnormal during sleep. There are two main forms of sleep apnea: obstructive and central. For obstructive sleep apnea, breathing is reduced because the airway...
DO YOU HAVE SPINAL CORD INJURY? TIRED? GET TREATED!
Melbourne researchers have found that 80 percent of people with quadriplegic spinal injuries have sleep apnoea. It's having a big effect on their lives but they don't know they have it, and they don't know it can be treated.
WORLD 1ST HEAVY VEHICLE DRIVER FATIGUE STUDY RELEASED
The National Transport Commission (NTC) and the Cooperative Research Centre for Alertness, Safety and Productivity (Alertness CRC) have released the results of what is hailed as a world-first study into heavy vehicle driver fatigue.
AAMRI ELECTION STATEMENT RELEASED ON 25TH MARCH 2019
AAMRI released its election statement calling on politicians to commit to three main priorities: ensuring the MRFF reaches $20 billion by 2020-21, provide continued strong support for the NHMRC, and develop sustainable and rewarding career pathways.
PORTRAIT UNVEILED AT CANBERRA'S PARLIAMENT HOUSE
IBAS Director Anna Burke had barely got into the swing of her speech at the unveiling of her portrait at Canberra's Parliament House when the ringing of bells caused half her audience to hurry away.
© 2020 Institute for Breathing and Sleep. All Rights Reserved. ABN 39 093 685 879
Powered by Helmut Design | Manage
