Cussen Julie, Mukpradab Sasithorn, Tobiano Georgia, Haines Kimberley J, O'Connor Lauren, Marshall Andrea P
Gold Coast University Hospital, Southport, Queensland, Australia; Griffith University, Southport, Queensland, Australia.
Griffith University, Southport, Queensland, Australia; Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand.
Aust Crit Care. 2025 Jan;38(1):101084. doi: 10.1016/j.aucc.2024.06.007. Epub 2024 Aug 5.
Early mobilisation interventions play a role in preventing intensive care unit-acquired weakness in critically ill patients and may contribute to improved recovery. Patient-and-family-centred care includes collaborative partnerships between healthcare professionals and families and is a potential strategy to promote early mobilisation in critical care; however, we currently do not know family member preferences for partnering and involvement in early mobilisation interventions.
The objective of this study was to explore family member perspectives on the acceptability and feasibility of partnering with healthcare professionals in early mobilisation interventions for adult critically ill patients.
A descriptive qualitative design. Semistructured interviews were conducted with family members of adult critically ill patients admitted to an intensive care unit. Data were collected through individual audio-recorded interviews. Interview data were analysed using the six phases of thematic analysis described by Braun and Clark. This study is reported following the Consolidated Criteria for Reporting Qualitative Research guidelines.
Most family members of critically ill patients found the idea of partnering with healthcare professionals in early mobilisation interventions acceptable and feasible, although none had ever considered a partnership before. Participants thought their involvement in early mobilisation would have a positive impact on both the patient's and their own wellbeing. Themes uncovered showed that understanding family-member readiness and their need to feel welcome and included in the unfamiliar critical care environment are required before family member and healthcare professional partnerships in early mobilisation interventions can be enacted.
Family members found partnering with healthcare professionals in early mobilisation interventions acceptable and feasible to enact, but implementation is influenced by their readiness and sense of belonging.
早期活动干预在预防重症患者的重症监护病房获得性肌无力方面发挥着作用，并且可能有助于改善康复情况。以患者和家庭为中心的护理包括医疗保健专业人员与家庭之间的合作关系，是促进重症监护中早期活动的一种潜在策略；然而，我们目前尚不清楚家庭成员对于参与早期活动干预的合作及参与的偏好。
本研究的目的是探讨家庭成员对于与医疗保健专业人员合作开展成人重症患者早期活动干预的可接受性和可行性的看法。
采用描述性定性设计。对入住重症监护病房的成年重症患者的家庭成员进行半结构化访谈。通过个人录音访谈收集数据。访谈数据采用布劳恩和克拉克描述的主题分析的六个阶段进行分析。本研究按照《定性研究报告统一标准》指南进行报告。
大多数重症患者的家庭成员认为在早期活动干预中与医疗保健专业人员合作的想法是可以接受和可行的，尽管之前没有人考虑过合作。参与者认为他们参与早期活动会对患者和他们自己的幸福感产生积极影响。发现的主题表明，在早期活动干预中家庭成员与医疗保健专业人员建立合作关系之前，需要了解家庭成员的准备情况以及他们在陌生的重症监护环境中感到受欢迎和被接纳的需求。
家庭成员发现在早期活动干预中与医疗保健专业人员合作是可以接受和可行的，但实施受到他们的准备情况和归属感的影响。
