JMERC
Owner
Janbazan Medical and Engineering Research Center (JMERC) is the owner of IJWPH.
0.5
Cite Score
SJR: 0.129 / SNIP: 0.140
Volume 17, Issue 3 (2025)
Iran J War Public Health 2025, 17(3): 237-241 |
Back to browse issues page
Article Type:
Subject:
History
Received: 2025/05/23 | Accepted: 2025/07/14 | Published: 2025/07/20
Received: 2025/05/23 | Accepted: 2025/07/14 | Published: 2025/07/20
How to cite this article
Al-Salih S, Faris H, Hindi N. Nurses’ Knowledge about Early Mobilization of Patients in Critical Care Units at Al-Hillah Teaching Hospitals. Iran J War Public Health 2025; 17 (3) :237-241
URL: http://ijwph.ir/article-1-1615-en.html
URL: http://ijwph.ir/article-1-1615-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rights and permissions
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
1- Department of Adult Nursing, Faculty of Nursing, University of Al-Qadisiyah, AL-Dewaynia, Iraq
2- Department of Laboratory and Clinical Sciences, Faculty of Pharmacy, Jabir Ibn Hayyan University for Medical and Pharmaceutical Sciences, Najaf, Iraq
3- Department of Basic and Medical Science, Pharmacy College, Al-Mustaqbal University, Hillah, Iraq
2- Department of Laboratory and Clinical Sciences, Faculty of Pharmacy, Jabir Ibn Hayyan University for Medical and Pharmaceutical Sciences, Najaf, Iraq
3- Department of Basic and Medical Science, Pharmacy College, Al-Mustaqbal University, Hillah, Iraq
Abstract (893 Views)
Aims: Moving complicated and critically ill patients has been considered risky in ICU culture for a long time. This research aimed to assess the knowledge of nurses regarding early patient mobility in critical care facilities and to determine the relationship between their demographics and knowledge level.
Instrument & Methods: This cross-sectional research was performed on 93 nurses from the intensive care units at Al-Hillah Teaching Hospitals (Al-Imam Al-Sadiq and Al-Hillah Teaching Hospitals) during the period from December 1, 2023, to April 1, 2024. Data were collected using a questionnaire consisting of two sections. Data were analyzed using SPSS 26.
Findings: Only under 50% of nurses (48.4%) had inadequate knowledge about patients’ early mobilization in intensive care units at Al-Hillah teaching hospitals. There was no significant relationship between nurses’ overall knowledge regarding the early mobilization of patients in ICUs at Al-Hillah Teaching Hospitals and their demographic and employment data.
Conclusion: Only half of the nurses at Al-Hillah teaching hospitals have sufficient knowledge about early patient mobility in critical care settings, and there is no significant relationship between their knowledge about mobility in intensive care units and their demographic and employment data.
Instrument & Methods: This cross-sectional research was performed on 93 nurses from the intensive care units at Al-Hillah Teaching Hospitals (Al-Imam Al-Sadiq and Al-Hillah Teaching Hospitals) during the period from December 1, 2023, to April 1, 2024. Data were collected using a questionnaire consisting of two sections. Data were analyzed using SPSS 26.
Findings: Only under 50% of nurses (48.4%) had inadequate knowledge about patients’ early mobilization in intensive care units at Al-Hillah teaching hospitals. There was no significant relationship between nurses’ overall knowledge regarding the early mobilization of patients in ICUs at Al-Hillah Teaching Hospitals and their demographic and employment data.
Conclusion: Only half of the nurses at Al-Hillah teaching hospitals have sufficient knowledge about early patient mobility in critical care settings, and there is no significant relationship between their knowledge about mobility in intensive care units and their demographic and employment data.
Keywords:
References
1. Adler J, Malone D. Early mobilization in the intensive care unit: A systematic review. Cardiopulm Phys Ther J. 2012;23(1):5-13. [Link] [DOI:10.1097/01823246-201223010-00002]
2. Morris PE, Goad A, Thompson C, Taylor K, Harry B, Passmore L, et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med. 2008;36(8):2238-43. [Link] [DOI:10.1097/CCM.0b013e318180b90e]
3. Perme C, Chandrashekar R. Early mobility and walking program for patients in intensive care units: Creating a standard of care. Am J Crit Care. 2009;18(3):212-21. [Link] [DOI:10.4037/ajcc2009598]
4. Perme C, Lettvin C, Throckmorton TA, Mitchell K, Masud F. Early mobility and walking for patients with femoral arterial catheters in intensive care unit: A case series. J Acute Care Phys Ther. 2011;2(1):30-4. [Link] [DOI:10.1097/01592394-201102010-00004]
5. Castro AA, Calil SR, Freitas SA, Oliveira AB, Porto EF. Chest physiotherapy effectiveness to reduce hospitalization and mechanical ventilation length of stay, pulmonary infection rate and mortality in ICU patients. Respir Med. 2013;107(1):68-74. [Link] [DOI:10.1016/j.rmed.2012.09.016]
6. Clark DE, Lowman JD, Griffin RL, Matthews HM, Reiff DA. Effectiveness of an early mobilization protocol in a trauma and burns intensive care unit: A retrospective cohort study. Phys Ther. 2013;93(2):186-96. [Link] [DOI:10.2522/ptj.20110417]
7. Brownback CA, Fletcher P, Pierce LN, Klaus S. Early mobility activities during continuous renal replacement therapy. Am J Crit Care. 2014;23(4):348-51. [Link] [DOI:10.4037/ajcc2014889]
8. Hodgson CL, Stiller K, Needham DM, Tipping CJ, Harrold M, Baldwin CE, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Crit Care. 2014;18:658. [Link] [DOI:10.1186/s13054-014-0658-y]
9. Gosselink R, Bott J, Johnson M, Dean E, Nava S, Norrenberg M, et al. Physiotherapy for adult patients with critical illness: Recommendations of the European respiratory society and European society of intensive care medicine task force on physiotherapy for critically ill patients. Intensive Care Med. 2008;34(7):1188-99. [Link] [DOI:10.1007/s00134-008-1026-7]
10. Klein KE, Bena JF, Mulkey M, Albert NM. Sustainability of a nurse-driven early progressive mobility protocol and patient clinical and psychological health outcomes in a neurological intensive care unit. Intensive Crit Care Nurs. 2018;45:11-7. [Link] [DOI:10.1016/j.iccn.2018.01.005]
11. Negro A, Cabrini L, Lembo R, Monti G, Dossi M, Perduca A, et al. Early progressive mobilization in the intensive care unit without dedicated personnel. Can J Crit Care Nurs. 2018;29(3). [Link]
12. AL-Salih SH, Jaber Muhbes F. Study of nurses' knowledge about COVID-19 in Al-Hilla teaching hospitals. Iran Rehabil J. 2022;20(2):245-52. [Link] [DOI:10.32598/irj.20.2.1765.1]
13. Zhang X, Jiang C, Chen F, Wu H, Yang L, Jiang Z, et al. ICU quasi-speciality nurses' knowledge, attitudes and practices regarding early mobilization: A cross-sectional survey. Nurs Open. 2023;10(2):977-87. [Link] [DOI:10.1002/nop2.1365]
14. Zhao M, Qiu A, Zhang Z, Pan F, Gao Y. The knowledge, attitude and behavior of ICU nurses regarding ICU-acquired weakness: A cross-sectional survey. BMC Nurs. 2024;23(1):377. [Link] [DOI:10.1186/s12912-024-01942-9]
15. Zhang H, Liu H, Li Z, Li Q, Chu X, Zhou X, et al. Early mobilization implementation for critical ill patients: A cross-sectional multi-center survey about knowledge, attitudes, and perceptions of critical care nurses. Int J Nurs Sci. 2021;9(1):49-55. [Link] [DOI:10.1016/j.ijnss.2021.10.001]
16. Koo KK, Choong K, Cook DJ, Herridge M, Newman A, Lo V, et al. Early mobilization of critically ill adults: A survey of knowledge, perceptions and practices of Canadian physicians and physiotherapists. CMAJ Open. 2016;4(3):E448-54. [Link] [DOI:10.9778/cmajo.20160021]
17. Anekwe DE, Koo KK, De Marchie M, Goldberg P, Jayaraman D, Spahija J. Interprofessional survey of perceived barriers and facilitators to early mobilization of critically ill patients in Montreal, Canada. J Intensive Care Med. 2019;34(3):218-26. [Link] [DOI:10.1177/0885066617696846]
18. Bülbül Maraş G, Kocaçal Güler E, Eşer İ, Köse Ş. Knowledge and practice of intensive care nurses for endotracheal suctioning in a teaching hospital in western Turkey. Intensive Crit Care Nurs. 2017;39:45-54. [Link] [DOI:10.1016/j.iccn.2016.08.006]
19. Pinto F, Biancofiore G. The ABCDE bundle: A survey of nurses knowledge and attitudes in the intensive care units of a national teaching hospital in Italy. Dimens Crit Care Nurs. 2016;35(6):309-14. [Link] [DOI:10.1097/DCC.0000000000000210]
20. Wang J, Xiao Q, Zhang C, Jia Y, Shi C. Intensive care unit nurses' knowledge, attitudes, and perceived barriers regarding early mobilization of patients. Nurs Crit Care. 2020;25(6):339-45. [Link] [DOI:10.1111/nicc.12507]
21. Lin F, Phelan S, Chaboyer W, Mitchell M. Early mobilisation of ventilated patients in the intensive care unit: A survey of critical care clinicians in an Australian tertiary hospital. Aust Crit Care. 2020;33(2):130-6. [Link] [DOI:10.1016/j.aucc.2019.02.002]
22. Asfaw M, Wordofa B, Ayalew Y, Habte T. Knowledge, attitude and practice of nurses towards major immobility complications and its associated factors at governmental hospitals in Addis Ababa, Ethiopia: A cross-sectional study. Int J Afr Nurs Sci. 2021;15:100353. [Link] [DOI:10.1016/j.ijans.2021.100353]
23. Syam NM, Gebril H, Mohamed H, Mohammed Abed Elazeem YF, Weheida SM. Effect of educational nursing guideline about immobilization complications control on nurses' knowledge and safety practice. Egypt J Nurs Health Sci. 2021;2(2):1-21. [Link] [DOI:10.21608/ejnhs.2021.234362]