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Barriers and facilitators of early mobilisation for intensive care unit delirium: perspectives from patients, family members and carers. A qualitative study protocol

Bennion, J; Garrett, R; Mansell, SK; Barron, D; Martin, D; Mein, G (2022) Barriers and facilitators of early mobilisation for intensive care unit delirium: perspectives from patients, family members and carers. A qualitative study protocol. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION, 29 (1). ISSN 1741-1645 https://doi.org/10.12968/ijtr.2021.0020
SGUL Authors: Barron, Duncan Stewart

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Abstract

Background/Aims One-third of patients develop delirium following admission to an intensive care unit. Intensive care unit delirium is associated with poor patient outcomes, including long-term disability and high mortality. Early mobilisation contributes towards the prevention and reduction of intensive care unit delirium. However, the implementation of early mobilisation is infrequent. The aim of this protocol is to explore participants' experiences of the barriers to, and facilitators of, early mobilisation in the adult intensive care unit specific to people experiencing delirium. Methods Three moderators will carry out up to six focus groups including up to five participants in each group. Focus group discussions will be used to explore the experiences of patients, carers and family members using Microsoft Teams. Participants will be recruited from the charity ICUsteps using a purposive sampling technique. Results Discussions will be audio-recorded and simultaneously transcribed verbatim using the otter.ai programme. Member check approval will be sought to ensure accuracy of data. Framework analysis using a thematic methodology will identify themes in the data. Conclusions It is anticipated that the findings of this study will contribute towards further understanding the implementation of early mobilisation in order to improve measures for prevention and management of delirium in the adult intensive care unit.

Item Type: Article
Additional Information: This document is the Accepted Manuscript version of a Published Work that appeared in final form in International Journal of Therapy and Rehabilitation, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://doi.org/10.12968/ijtr.2021.0020.
Keywords: Caregivers, Delirium, Early ambulation, Family, Intensive care units, Caregivers, Delirium, Early ambulation, Family, Intensive care units, 1103 Clinical Sciences
Journal or Publication Title: INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION
ISSN: 1741-1645
Dates:
DateEvent
2 January 2022Published
3 February 2022Published Online
27 September 2021Accepted
Publisher License: Publisher's own licence
Web of Science ID: WOS:000769529800004
URI: https://openaccess.sgul.ac.uk/id/eprint/116514
Publisher's version: https://doi.org/10.12968/ijtr.2021.0020

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