Department of Surgical Nursing, Faculty of Health Sciences, Trakya University, Edirne, Türkiye.
Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, Spain.
J Adv Nurs. 2024 Nov;80(11):4616-4628. doi: 10.1111/jan.16091. Epub 2024 Feb 6.
To investigate the potential challenges experienced by cardiac intensive care unit (ICU) nurses in the first out-of-bed patient mobilization after open-heart surgery and propose solutions.
A qualitative study design using the descriptive phenomenological approach.
Individual face-to-face interviews were conducted via a widely used videoconferencing program between 28 July and 22 October 2022, in the tertiary cardiac ICU of a university hospital. Nurses who had at least 1 year of cardiac ICU experience and actively participating in patient care were included. The COREQ criteria and checklist were followed in this investigation and the data were analysed by using the ATLAS.ti 8.0.
Nurses reported that they experience challenges when mobilizing patients, such as patients' fear, reluctance or resistance; nurses having insufficient experience, strength or lack of team members. Despite these challenges, they highlighted some positive outcomes of mobilization, such as feeling happy, reinforced team communication and nurse-patient relationship. The nurses also suggested some facilitators, such as patient motivation and an explanation of the process.
Nurses experience various patient-related and nurse-related challenges during the first out-of-bed mobilization of the patient after open-heart surgery. It is recommended that healthcare institutions should implement effective strategies to address the staffing shortages and to support nurse motivation to ensure adequate nursing care.
This study provides valuable insights into the existing literature by examining the potential challenges and strategies of the first out-of-bed patient mobilization in the cardiac ICU. It shows that patient education and organizational adaptations are effective ways to overcome the challenges. It also suggests that motivating and informing patients before the mobilization can make the process easier. Moreover, it reveals that successful patient mobilization makes nurses happy, improves team communication and strengthens nurse-patient relationship.
No patient or public contribution.
调查心脏重症监护病房（ICU）护士在心脏直视手术后首次离床患者活动中所面临的潜在挑战，并提出解决方案。
采用描述现象学方法的定性研究设计。
2022 年 7 月 28 日至 10 月 22 日，通过大学医院三级心脏 ICU 中广泛使用的视频会议程序，对至少有 1 年心脏 ICU 经验并积极参与患者护理的护士进行了个人面对面访谈。本研究遵循 COREQ 标准和检查表，使用 ATLAS.ti 8.0 分析数据。
护士报告称，在动员患者时会遇到一些挑战，例如患者的恐惧、不情愿或抵制；护士经验不足、体力不足或缺乏团队成员。尽管存在这些挑战，但他们强调了动员的一些积极结果，例如感到高兴、加强了团队沟通和护患关系。护士还提出了一些促进因素，例如患者的积极性和对过程的解释。
护士在心脏直视手术后患者首次离床活动中会遇到各种与患者相关和与护士相关的挑战。建议医疗机构实施有效的策略来解决人员短缺问题，并支持护士的积极性，以确保提供足够的护理。
本研究通过检查心脏 ICU 中首次离床患者动员的潜在挑战和策略，为现有文献提供了有价值的见解。结果表明，患者教育和组织适应是克服挑战的有效方法。它还表明，在动员前激励和告知患者可以使过程更容易。此外，它揭示了成功的患者动员使护士感到高兴，改善了团队沟通并加强了护患关系。
没有患者或公众的贡献。
