Assessment of mobilization capacity in 10 different ICU scenarios by different professions.
<h4>Background</h4>Mobilization of intensive care patients is a multi-professional task. Aim of this study was to explore how different professions working at Intensive Care Units (ICU) estimate the mobility capacity using the ICU Mobility Score in 10 different scenarios.<h4>Method...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2020-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0239853 |
| _version_ | 1819032403170033664 |
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| author | Carsten Hermes Peter Nydahl Manfred Blobner Rolf Dubb Silke Filipovic Arnold Kaltwasser Bernhard Ulm Stefan J Schaller |
| author_facet | Carsten Hermes Peter Nydahl Manfred Blobner Rolf Dubb Silke Filipovic Arnold Kaltwasser Bernhard Ulm Stefan J Schaller |
| author_sort | Carsten Hermes |
| collection | DOAJ |
| description | <h4>Background</h4>Mobilization of intensive care patients is a multi-professional task. Aim of this study was to explore how different professions working at Intensive Care Units (ICU) estimate the mobility capacity using the ICU Mobility Score in 10 different scenarios.<h4>Methods</h4>Ten fictitious patient-scenarios and guideline-related knowledge were assessed using an online survey. Critical care team members in German-speaking countries were invited to participate. All datasets including professional data and at least one scenario were analyzed. Kruskal Wallis test was used for the individual scenarios, while a linear mixed-model was used over all responses.<h4>Results</h4>In total, 515 of 788 (65%) participants could be evaluated. Physicians (p = 0.001) and nurses (p = 0.002) selected a lower ICU Mobility Score (-0.7 95% CI -1.1 to -0.3 and -0.4 95% CI -0.7 to -0.2, respectively) than physical therapists, while other specialists did not (p = 0.81). Participants who classified themselves as experts or could define early mobilization in accordance to the "S2e guideline: positioning and early mobilisation in prophylaxis or therapy of pulmonary disorders" correctly selected higher mobilization levels (0.2 95% CI 0.0 to 0.4, p = 0.049 and 0.3 95% CI 0.1 to 0.5, p = 0.002, respectively).<h4>Conclusion</h4>Different professions scored the mobilization capacity of patients differently, with nurses and physicians estimating significantly lower capacity than physical therapists. The exact knowledge of guidelines and recommendations, such as the definition of early mobilization, independently lead to a higher score. Interprofessional education, interprofessional rounds and mobilization activities could further enhance knowledge and practice of mobilization in the critical care team. |
| first_indexed | 2024-12-21T07:01:23Z |
| format | Article |
| id | doaj.art-d4407be0531246e0b0fe1770d393a488 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-21T07:01:23Z |
| publishDate | 2020-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-d4407be0531246e0b0fe1770d393a4882022-12-21T19:12:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-011510e023985310.1371/journal.pone.0239853Assessment of mobilization capacity in 10 different ICU scenarios by different professions.Carsten HermesPeter NydahlManfred BlobnerRolf DubbSilke FilipovicArnold KaltwasserBernhard UlmStefan J Schaller<h4>Background</h4>Mobilization of intensive care patients is a multi-professional task. Aim of this study was to explore how different professions working at Intensive Care Units (ICU) estimate the mobility capacity using the ICU Mobility Score in 10 different scenarios.<h4>Methods</h4>Ten fictitious patient-scenarios and guideline-related knowledge were assessed using an online survey. Critical care team members in German-speaking countries were invited to participate. All datasets including professional data and at least one scenario were analyzed. Kruskal Wallis test was used for the individual scenarios, while a linear mixed-model was used over all responses.<h4>Results</h4>In total, 515 of 788 (65%) participants could be evaluated. Physicians (p = 0.001) and nurses (p = 0.002) selected a lower ICU Mobility Score (-0.7 95% CI -1.1 to -0.3 and -0.4 95% CI -0.7 to -0.2, respectively) than physical therapists, while other specialists did not (p = 0.81). Participants who classified themselves as experts or could define early mobilization in accordance to the "S2e guideline: positioning and early mobilisation in prophylaxis or therapy of pulmonary disorders" correctly selected higher mobilization levels (0.2 95% CI 0.0 to 0.4, p = 0.049 and 0.3 95% CI 0.1 to 0.5, p = 0.002, respectively).<h4>Conclusion</h4>Different professions scored the mobilization capacity of patients differently, with nurses and physicians estimating significantly lower capacity than physical therapists. The exact knowledge of guidelines and recommendations, such as the definition of early mobilization, independently lead to a higher score. Interprofessional education, interprofessional rounds and mobilization activities could further enhance knowledge and practice of mobilization in the critical care team.https://doi.org/10.1371/journal.pone.0239853 |
| spellingShingle | Carsten Hermes Peter Nydahl Manfred Blobner Rolf Dubb Silke Filipovic Arnold Kaltwasser Bernhard Ulm Stefan J Schaller Assessment of mobilization capacity in 10 different ICU scenarios by different professions. PLoS ONE |
| title | Assessment of mobilization capacity in 10 different ICU scenarios by different professions. |
| title_full | Assessment of mobilization capacity in 10 different ICU scenarios by different professions. |
| title_fullStr | Assessment of mobilization capacity in 10 different ICU scenarios by different professions. |
| title_full_unstemmed | Assessment of mobilization capacity in 10 different ICU scenarios by different professions. |
| title_short | Assessment of mobilization capacity in 10 different ICU scenarios by different professions. |
| title_sort | assessment of mobilization capacity in 10 different icu scenarios by different professions |
| url | https://doi.org/10.1371/journal.pone.0239853 |
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