P Nydahl1, M Dewes2, R Dubb3, S Filipovic4, C Hermes5, F Jüttner6, A Kaltwasser3, S Klarmann7, K Klas8, H Mende9, O Rothaug10, D Schuchhardt11. 1. Pflegeforschung, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Haus 31, Brunswiker Str. 10, 24105, Kiel, Deutschland. peter.nydahl@uksh.de. 2. Anästhesie und Intensivpflege, ALIAR - Association luxemburgeoise des Infirmier(e)s en Anästhesie et Réanimation, Dudelange, Luxemburg. 3. Akademie der Kreiskliniken Reutlingen, Kreiskliniken Reutlingen GmbH, Steinenbergstr. 31, 72764, Reutlingen, Deutschland. 4. Abteilung Physiotherapie, Universitätsklinikum Gießen und Marburg (UKGM) Standort Marburg, Baldinger Straße, 35033, Marburg, Deutschland. 5. Anästhesie und Intensivpflege, HELIOS Klinikum Siegburg, Ringstraße 49, 53721, Siegburg, Deutschland. 6. Anästhesie und Intensivpflege, Asklepios Klinik Langen, Röntgenstraße 20, 63325, Langen, Deutschland. 7. Fachleitung Zentrale Einrichtung Physiotherapie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Haus 31, Brunswiker Str. 10, 24105, Kiel, Deutschland. 8. Gesundheits- und Krankenpflege, IMC Fachhochschule Krems, Am Campus Krems, 3500, Krems, Österreich. 9. Anästhesiologie & Intensivmedizin, Neurologische Intensivstation, Klinik für Neurologie, Christophsbad Göppingen, Faurndauerstrasse 6-28, 73035, Göppingen, Deutschland. 10. Intensiv- und Anästhesiepflege, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37077, Göttingen, Deutschland. 11. Zentrum für Anästhesie, Intensiv- und Notfallmedizin, Zentralklinik Bad Berka GmbH, Robert-Koch-Allee 9, 99437, Bad Berka, Deutschland.
Abstract
BACKGROUND: Early mobilization is an evident, interprofessional concept to improve the outcome of intensive care patients. It reduces psychocognitive deficits and delirium and attenuates a general deconditioning, including atrophy of the respiratory pump and skeletal muscles. In this regard the interdisciplinary approach of early mobilization, taking into account different levels of mobilization, appears to be beneficial. The purpose of this study was to explore opinions on collaboration and tasks between different professional groups. METHOD: During the 25th Bremen Conference on Intensive Medicine and Nursing on 20 February 2015, a questionnaire survey was carried out among the 120 participants of the German Early Mobilization Network meeting. RESULTS: In all, 102 questionnaires were analyzed. Most participants reported on the interdisciplinarity of the approach, but none of the tasks and responsibilities concerning early mobilization can be assigned to a single professional group. The practical implementation of mobilizing orally intubated patients may require two registered nurses as well as a physical therapist. Implementation in daily practice seems to be heterogeneous. CONCLUSIONS: There is no consensus regarding collaboration, competencies, and responsibilities with respect to early mobilization of intensive care patients. The approach to date has been characterized by a lack of interprofessional communication, which may lead to an inefficient use of the broad and varied base of knowledge and experienceof the different professions.
BACKGROUND: Early mobilization is an evident, interprofessional concept to improve the outcome of intensive care patients. It reduces psychocognitive deficits and delirium and attenuates a general deconditioning, including atrophy of the respiratory pump and skeletal muscles. In this regard the interdisciplinary approach of early mobilization, taking into account different levels of mobilization, appears to be beneficial. The purpose of this study was to explore opinions on collaboration and tasks between different professional groups. METHOD: During the 25th Bremen Conference on Intensive Medicine and Nursing on 20 February 2015, a questionnaire survey was carried out among the 120 participants of the German Early Mobilization Network meeting. RESULTS: In all, 102 questionnaires were analyzed. Most participants reported on the interdisciplinarity of the approach, but none of the tasks and responsibilities concerning early mobilization can be assigned to a single professional group. The practical implementation of mobilizing orally intubated patients may require two registered nurses as well as a physical therapist. Implementation in daily practice seems to be heterogeneous. CONCLUSIONS: There is no consensus regarding collaboration, competencies, and responsibilities with respect to early mobilization of intensive care patients. The approach to date has been characterized by a lack of interprofessional communication, which may lead to an inefficient use of the broad and varied base of knowledge and experienceof the different professions.
Entities:
Keywords:
Delirium; Intensive care; Interdisciplinary health team; Physiotherapy; Survey
Authors: Jaime Garzon-Serrano; Cheryl Ryan; Karen Waak; Ronald Hirschberg; Susan Tully; Edward A Bittner; Daniel W Chipman; Ulrich Schmidt; Georgios Kasotakis; John Benjamin; Ross Zafonte; Matthias Eikermann Journal: PM R Date: 2011-04 Impact factor: 2.298
Authors: Robert K Lord; Christopher R Mayhew; Radha Korupolu; Earl C Mantheiy; Michael A Friedman; Jeffrey B Palmer; Dale M Needham Journal: Crit Care Med Date: 2013-03 Impact factor: 7.598
Authors: Eduard E Vasilevskis; E Wesley Ely; Theodore Speroff; Brenda T Pun; Leanne Boehm; Robert S Dittus Journal: Chest Date: 2010-11 Impact factor: 9.410
Authors: Polly Bailey; George E Thomsen; Vicki J Spuhler; Robert Blair; James Jewkes; Louise Bezdjian; Kristy Veale; Larissa Rodriquez; Ramona O Hopkins Journal: Crit Care Med Date: 2007-01 Impact factor: 7.598
Authors: Juliana Barr; Gilles L Fraser; Kathleen Puntillo; E Wesley Ely; Céline Gélinas; Joseph F Dasta; Judy E Davidson; John W Devlin; John P Kress; Aaron M Joffe; Douglas B Coursin; Daniel L Herr; Avery Tung; Bryce R H Robinson; Dorrie K Fontaine; Michael A Ramsay; Richard R Riker; Curtis N Sessler; Brenda Pun; Yoanna Skrobik; Roman Jaeschke Journal: Crit Care Med Date: 2013-01 Impact factor: 7.598
Authors: Darryl Abrams; Jeffrey Javidfar; Erica Farrand; Linda B Mongero; Cara L Agerstrand; Patrick Ryan; David Zemmel; Keri Galuskin; Theresa M Morrone; Paul Boerem; Matthew Bacchetta; Daniel Brodie Journal: Crit Care Date: 2014-02-27 Impact factor: 9.097
Authors: P Nydahl; R Dubb; S Filipovic; C Hermes; F Jüttner; A Kaltwasser; S Klarmann; H Mende; S Nessizius; C Rottensteiner Journal: Med Klin Intensivmed Notfmed Date: 2016-09-06 Impact factor: 0.840
Authors: P Nydahl; A Diers; U Günther; B Haastert; S Hesse; C Kerschensteiner; S Klarmann; S Köpke Journal: Med Klin Intensivmed Notfmed Date: 2018-10 Impact factor: 0.840
Authors: Oliver Kumpf; Jan-Peter Braun; Alexander Brinkmann; Hanswerner Bause; Martin Bellgardt; Frank Bloos; Rolf Dubb; Clemens Greim; Arnold Kaltwasser; Gernot Marx; Reimer Riessen; Claudia Spies; Jörg Weimann; Gabriele Wöbker; Elke Muhl; Christian Waydhas Journal: Ger Med Sci Date: 2017-08-01