The Experiences of Critical Care Nurses and Physicians Implementing Early Active Mobilisation on Patients With Mechanical Ventilation: A Qualitative Study.

Abstract

Background: Early active mobilisation (EAM) of patients receiving mechanical ventilation can reduce complications caused by prolonged immobilisation. However, little is known about the experiences of intensive care unit (ICU) nurses and physicians implementing EAM.

Aim: This study aimed to explore the experiences of ICU nurses and physicians in implementing EAM for patients with mechanical ventilation.

Study design: A phenomenological qualitative design was used, employing semi-structured interviews. Participants were recruited from five ICUs across five tertiary hospitals in western China between March and December 2021. Audio recordings were transcribed verbatim and analysed thematically using NVivo version 12.

Results: A total of 31 participants (20 nurses and 11 physicians) were interviewed. Four themes emerged from nurses: 'Coexistence of diverse emotions', 'Perceived professional benefits', 'Implementation challenges' and 'Suggestions and expectations'. Five themes emerged from physicians: 'Recognizing the necessity of EAM', 'Need for improved mobilization plans', 'Factors influencing decision-making', 'Professional role perception' and 'Suggestions for improvement'.

Conclusions: The experiences of ICU staff significantly influence the implementation and effectiveness of EAM. Improved resource allocation, comprehensive planning and interdisciplinary collaboration are essential for optimising patient recovery outcomes.

Relevance to clinical practice: The findings offer critical insights for critical care nurses, highlighting both the psychological and operational aspects of EAM. Tailored training, institutional support and collaborative practice can enhance the efficiency and confidence of nurses during mobilisation efforts.