Johnson Kari, Petti Jamie, Olson Amy, Custer Tina
Honor Health Thompson Peak Medical Center, 7400 E. Thompson Peak Parkway, Scottsdale, AZ, 85255, United States.
Trauma Intensive Care Unit, Honor Health John C Lincoln Medical Center, 250 East Dunlap Avenue, Phoenix, AZ, 85020, United States.
Intensive Crit Care Nurs. 2017 Oct;42:51-54. doi: 10.1016/j.iccn.2017.06.005. Epub 2017 Jul 23.
Mechanically ventilated patients can be at risk for functional decline (Cameron et al., 2015). Early mobilisation of mechanically ventilated patients can improve outcomes after critical illness to prevent this decline. Although registered nurses understand the importance of early mobilisation there are nurses who are unwilling to mobilise patients.
The aim of this study is to examine whether nurses' attitudes and beliefs are barriers for early mobilisation and evaluate whether an education intervention can improve early mobilisation.
Pre-test, post-test intervention with registered nurses and charge nurses in a 22 bed trauma intensive care setting.
Pre-test, post-test survey assessed perceived barriers in knowledge, attitudes, and behaviours followed by targeted education.
Dependent Sample T-test revealed a statistically significant increase in post-test responses for the subscales knowledge, attitudes, and behaviours with early mobilisation. This over-all increase in post-test results support that understanding barriers can improve patient outcomes.
Use of structured surveys to identify barriers for early mobilisation among nursing can assist in providing targeted education that address nurse's perception. The education intervention appeared to have a positive impact on attitudes but it is unknown if the difference was sustained over time or affected participants practice or patient outcomes.
机械通气患者存在功能衰退风险（卡梅伦等人，2015年）。对机械通气患者进行早期活动可改善危重症后的预后，以防止这种衰退。尽管注册护士明白早期活动的重要性，但仍有护士不愿意让患者活动。
本研究的目的是检验护士的态度和信念是否是早期活动的障碍，并评估教育干预是否能改善早期活动情况。
在一个设有22张床位的创伤重症监护病房对注册护士和护士长进行前测、后测干预。
前测、后测调查评估了在知识、态度和行为方面感知到的障碍，随后进行针对性教育。
相关样本t检验显示，早期活动的知识、态度和行为分量表在后测中的反应有统计学上的显著增加。后测结果的总体增加支持了这样的观点，即了解障碍可改善患者预后。
使用结构化调查来识别护理人员中早期活动的障碍，有助于提供针对护士认知的针对性教育。教育干预似乎对态度有积极影响，但尚不清楚这种差异是否会随着时间持续存在，或者是否会影响参与者的实践或患者预后。
