Nursing in Critical Care最新文献

{"title":"Uncertainty experienced by the critical patient upon discharge to the general ward: Care proposals from the perspective of Mishel's theory.","authors":"Mónica Romero-Pastor, María Teresa Ricart-Basagaña, Albert Mariné-Méndez, María Del Mar Lomero-Martínez, Oriol Romaní-Alfonso, María Lourdes Rubio-Rico","doi":"10.1111/nicc.13217","DOIUrl":"10.1111/nicc.13217","url":null,"abstract":"<p><strong>Background: </strong>The process of discharging the critical patient to the ward (discharge from critical care to the general ward-DCCW) is often described as an experience involving uncertainty which may affect the patient's quality of life and ability to cope. Coping with uncertainty is an individual response not related to the course of the illness that is dependent on external and internal resources and the ability to utilize them. Mishel's theory of uncertainty identifies aspects of care that can shape the experience of uncertainty associated with the illness.</p><p><strong>Aim: </strong>To understand the experiences of uncertainty of critical patients associated with discharge from the intensive care unit (ICU) to glean person-centred care strategies under such circumstances.</p><p><strong>Study design: </strong>Qualitative study with a phenomenological approach. Between March 2017 and May 2018, 20 in-depth interviews were conducted on patients recently discharged from an ICU.</p><p><strong>Results: </strong>The patients have been organized according to the following pre-established categories of Mishel's theory: stimulus framework, structure providers and uncertainty assessment. Based on these results, suggestions for the care of the critical patient upon discharge from the ICU are made in each of these categories.</p><p><strong>Conclusions: </strong>Applying Mishel's theoretical perspective to care for the critical patient during the process of discharge to the ward can help identify areas for intervention and improvement. To succeed, there is a need to promote a cultural change in ICUs, empower nurses and provide the necessary resources.</p><p><strong>Relevance to clinical practice: </strong>These findings are relevant and timely given the impact of the experience of critical patients discharge to the ward. Uncertainty management has been identified as an important element in the discharge experience of critically ill patients to the ward because, according to the informants' stories, it can make this transition a healthier process with less emotional impact.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13217"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Experiences of Critical Care Nurses and Physicians Implementing Early Active Mobilisation on Patients With Mechanical Ventilation: A Qualitative Study.","authors":"Jiajia Kong, Hengyang Wang, Donghui Jia, Qian Wang, Jie Cheng, Rui Wang, Caiyun Zhang, Lu Liu, Zhigang Zhang","doi":"10.1111/nicc.70142","DOIUrl":"https://doi.org/10.1111/nicc.70142","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>This study aimed to explore the experiences of ICU nurses and physicians in implementing EAM for patients with mechanical ventilation.</p><p><strong>Study design: </strong>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.</p><p><strong>Results: </strong>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'.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Relevance to clinical practice: </strong>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.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70142"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisiting the Role of Emergency Severity Index in Predicting Sepsis in Emergency Medicine.","authors":"Hao-Neng Huang, Yun-Feng Song, Jin Zhou, Chun-Quan Ou","doi":"10.1111/nicc.70155","DOIUrl":"https://doi.org/10.1111/nicc.70155","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70155"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Students' Experiences in Intensive Care Practice: A Qualitative Study.","authors":"Gül Dural","doi":"10.1111/nicc.70163","DOIUrl":"10.1111/nicc.70163","url":null,"abstract":"<p><strong>Background: </strong>Patients in intensive care units (ICUs) may experience physical, mental, social and spiritual suffering. The practice experiences of nursing students in the intensive care unit will significantly impact their acquisition of professional skills and future professional practice. However, nursing students often encounter challenges during their clinical internships.</p><p><strong>Aim: </strong>This study explores the experiences of nursing students in intensive care settings.</p><p><strong>Study design: </strong>This qualitative descriptive study was conducted with 15 nursing students in clinical practice in the intensive care units of a university hospital in eastern Turkey. The researcher created two forms to meet the purpose of the study. The first form gathered demographic information about the participants and the second form contained semi-structured interview questions. Thematic analysis was used to evaluate the data. Ethics committee approval was obtained.</p><p><strong>Results: </strong>Ten of the students were female and five were male. They were between 20 and 24 years old and were second-year nursing students. Thematic analysis revealed four main themes and nine sub-themes. The identified themes were: (1) professional competence, (2) emotional changes, (3) challenging situations and (4) influential events.</p><p><strong>Conclusion: </strong>This study revealed that nursing students experience significant emotional difficulties while developing professional skills during their intensive care internships. The findings suggest that, although students benefit from these experiences, they require more structured support systems. Effectively and supportively planning intensive care internships is important for improving the quality of education and strengthening students' psychological resilience.</p><p><strong>Relevance to clinical practice: </strong>This study highlights the key challenges and learning needs of nursing students in critical care settings, providing important information for critical care nurses. Even in countries where students do not complete an internship in critical care, the findings support developing orientation, mentoring and emotional support systems for newly graduated nurses. A supportive learning environment that strengthens the connection between theory and practice is essential for the learning process and patient safety.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70163"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kangaroo Cuddle Transport for Neonatal Palliative Care: A Service Evaluation.","authors":"Jacqueline Plazina, Melissa Melville, Li-An Collie, Lucy Cooke, Deanne August","doi":"10.1111/nicc.70143","DOIUrl":"10.1111/nicc.70143","url":null,"abstract":"<p><strong>Background: </strong>Newborn infants represent a significant percentage of childhood deaths (>60%) with over 90% of newborn end-of-life care taking place in an acute hospital setting. This is in direct contrast to adults and children where specialised hospital or hospice care is used during their palliative care experience. To support family choice, a neonatal retrieval service developed a new model of care to transfer babies from a hospital to a hospice, a hospital closer to home or a private residence for palliative care while being cuddled by a parent.</p><p><strong>Aim: </strong>Identify and evaluate (i) service workflows, (ii) clinical characteristics of babies, (iii) safe and effective experiences, (iv) processes required and (v) personnel for kangaroo cuddle transport for end-of-life care.</p><p><strong>Study design: </strong>Service evaluation utilising the Plan-Do-Study-Act (PDSA) cycle with outcomes grouped in five pragmatic domains: (i) workflow establishment, (ii) service population (clinical characteristics), (iii) safe and effective experiences, (iv) process and equipment and (v) personnel. Safety measures were assessed with individual PDSA cycles after each transfer, including referring and receiving service acceptability. Outcomes were reported in descriptive frequency.</p><p><strong>Results: </strong>Of 21 cases, 13 families elected to cuddle for transfer. Most neonates were term gestation (n = 9, 69%) and were greater than 1200 g (n = 13, 100%). Care provided included Paediatric Acute Resuscitation Plans (100%), mechanical ventilation (n = 7, 54%), oxygen supplementation (n = 4, 31%) and subcutaneous vascular access devices (n = 9, 69%). No adverse events occurred. Qualitative staff feedback was universally positive. Median preparation time was 0.5 h (range: 0.25-1.4), and transport time was 4 h (range: 2.75-12).</p><p><strong>Conclusions: </strong>Babies being transferred for palliative care can be safely managed while receiving kangaroo cuddle, with the support of an experienced neonatal transfer team.</p><p><strong>Relevance to clinical practice: </strong>This model of transport demonstrates an effective and meaningful additional service for neonatal patients requiring end-of-life care. Further evaluation is required for more preterm neonates, as transport and service requirements may be increasingly complex for this population.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70143"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitudes and Practices of Intensive Care Unit Nurses Regarding Critical Care Ultrasound: A Cross-Sectional Study in Southwestern China.","authors":"Lin Yang, Lei Lei, Shuai Zhang, Xia Zhang, Min Xu","doi":"10.1111/nicc.70170","DOIUrl":"10.1111/nicc.70170","url":null,"abstract":"<p><strong>Background: </strong>Critical care ultrasound is a promising technology for assessment and operational assistance in critical care. However, research on its application in critical nursing remains limited in China.</p><p><strong>Aim: </strong>Our aim was to evaluate the knowledge, attitudes and practices of intensive care unit (ICU) nurses regarding critical care ultrasound.</p><p><strong>Study design: </strong>A cross-sectional, questionnaire-based study. Data were collected via an online survey from April 1 to April 30, 2023, across six hospitals in Southwestern China. A structured questionnaire on critical care ultrasound was administered to 404 ICU nurses. Scores were converted to a percentage scale, with ≤ 60% considered negative, < 80% intermediate and ≥ 80% excellent.</p><p><strong>Results: </strong>Overall, 64.4% (260/404) of nurses scored at an intermediate level. In the knowledge dimension, 70.8% (286/404) of nurses had negative scores; in the attitude dimension, 49.0% (198/404) of nurses had an intermediate attitude; in the practice dimension, 22.8% (92/404) of nurses struggled to effectively implement clinical practice. Univariate analysis revealed that nursing object (F = 11.520, p < 0.01), ICU classification (F = 3.613, p = 0.029) and education level (F = 4.765, p = 0.010) significantly influenced the scores of nurses' knowledge, attitudes and practices regarding critical care ultrasound. Multivariate analysis revealed surgical ICU classification significantly predicted lower scores versus general ICU in total scores (β = -0.189, 95% CI [-29.499, -4.850], p < 0.01). Paediatric cases showed reduced scores versus adults in total scores (β = -0.233, 95% CI [-12.638, -1.989], p < 0.01). Conversely, mixed adult-paediatric care demonstrated superior total scores (β = 0.182, 95% CI [0.710, 15.448], p < 0.01) versus adult-only care.</p><p><strong>Conclusions: </strong>ICU nurses hold a positive attitude toward critical care ultrasound technology, generally believing that it can assist their work and improve patient outcomes. However, the current practical application of critical care ultrasound by ICU nurses is insufficient, particularly due to a lack of theoretical knowledge related to the technology.</p><p><strong>Relevance to clinical practice: </strong>These findings can assist nursing management in effectively developing future training programmes for critical care ultrasound, promoting its application and development in ICU nursing practice.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70170"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Mobility for Post-Cardiac Surgery Patients on Vasoactive Medication: A Nurse-Led Quality Improvement Project.","authors":"Safanah AlSaeed, Amani A AlJohi, Ahmad Alohali, Abdulaziz A Almojel, Abdullah A Bagazi, Rhodora Mae Solis","doi":"10.1111/nicc.70133","DOIUrl":"10.1111/nicc.70133","url":null,"abstract":"<p><strong>Background: </strong>Early mobilisation (EM) is critical for faster recovery in critically ill patients; it leads to improved outcomes, such as reduced length of stay (LOS), decreased muscle atrophy and minimal functional decline. However, implementing EM in the cardiovascular intensive care unit (CVICU), particularly for patients on vasopressors, poses challenges due to concerns regarding haemodynamic instability and adverse events. Success depends on nurses' knowledge and confidence; however, barriers exist in high-acuity settings.</p><p><strong>Aim: </strong>This study aimed to enhance the knowledge and perspectives of CVICU nurses regarding EM among patients receiving vasopressors and to assess its impact on patient outcomes.</p><p><strong>Study design: </strong>A quality improvement initiative was conducted in the adult CVICU of a tertiary hospital in Riyadh, Saudi Arabia. An educational programme was delivered to CVICU nurses to improve their understanding and use of the Banner Mobility Assessment Tool in daily practice, forming the basis for implementing EM protocols.</p><p><strong>Results: </strong>A total of 40 nurses received education, of which 25 (62.5%) responded to the questionnaire before implementation and 30 (75%) responded afterwards. The intervention significantly improved the nurses' knowledge of ICU-acquired weakness in patients receiving vasopressors (p = 0.005). Confidence in initiating EM (p = 0.002), starting without a physician's request (p = 0.006) and staying updated on mobility practices (p = 0.001) also increased. The pre-implementation group had 27 patients, while the post-implementation group had 45 patients; 24 in the EM group and 21 in the late mobilisation group. ICU mobility scores significantly increased between pre- and post-implementation groups (p < 0.001). The mean ICU mobility score at CVICU discharge was higher in the EM group (8.9 ± 0.9) than in the pre-implementation group (7.8 ± 0.6) (p < 0.001).</p><p><strong>Conclusion: </strong>Nurse-driven early mobility for post-cardiac surgery patients taking vasoactive medication is safe and feasible and facilitates improved patient mobility before discharge while reducing the LOS.</p><p><strong>Relevance to clinical practice: </strong>This study highlights the potential of early mobilisation to enhance patient outcomes in critical care settings, emphasising the importance of nurse-led interventions.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70133"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of dysglycaemia metrics over the first 7 days of ICU stay with ICU mortality among patients with and without diabetes.","authors":"Huan Yao, Yao Chen, Yukang Dong, Guiping Zhang, Wen Luo, Ji Chen, Yingfang Chen, Jia Guo","doi":"10.1111/nicc.13245","DOIUrl":"10.1111/nicc.13245","url":null,"abstract":"<p><strong>Background: </strong>Dysglycaemia metrics, defined as hyperglycaemia, increased glucose variability, hypoglycaemia and reduced time in the targeted blood glucose range (TIR), are linked to higher mortality. The relationship between dysglycaemia metrics and intensive care unit (ICU) mortality over time for patients with and without diabetes remains inconclusive, posing challenges for ICU medical staff in accurately identifying and distinguishing various risk factors and taking timely and appropriate responses.</p><p><strong>Aim: </strong>To explore which dysglycaemia metrics within the first 7 days of ICU stay are associated with ICU mortality among patients with and without diabetes.</p><p><strong>Study design: </strong>This retrospective cohort study included 712 patients without diabetes and 222 patients with diabetes. Clinical data were collected within the first 7 days of ICU stay. Binary logistic regression models were built to analyse which dysglycaemia metrics (hyperglycaemia, coefficient of variation [CV], hypoglycaemia and TIR) on the first day, over the first 3, 5 and 7 days of ICU stay were associated with ICU mortality.</p><p><strong>Results: </strong>In patients with diabetes, hyperglycaemia on the first day (OR: 4.90, 95% CI: 1.51-15.90, p = .008) and TIR <70% during the first 7 days of ICU stay (OR: 16.31, 95% CI: 1.50-176.89, p = .022) were associated with increased ICU mortality. In patients without diabetes, CV >20% on the first day (OR: 1.46, 95% CI: 1.03-2.07, p = .035), and TIR <70% during the first 3 (OR: 2.01, 95% CI: 1.35-2.98, p < .001) and 5 days (OR: 1.66, 95% CI: 1.09-2.54, p = .019) were associated with increased ICU mortality (p < .05). The proportion of hypoglycaemia did not significantly correlate with ICU mortality in patients with or without diabetes (p > .05).</p><p><strong>Conclusions: </strong>Specific dysglycaemia metrics are associated with ICU mortality between patients with and without diabetes. In patients with diabetes, hyperglycaemia on the first day and TIR <70% on the first 7 days with higher mortality. In patients without diabetes, CV >20% on the first day and TIR <70% in the first 3 and 5 days are associated with higher mortality. Monitoring these metrics may potentially help develop strategies to decrease ICU mortality through individualized glycaemic management.</p><p><strong>Relevance to clinical practice: </strong>Close monitoring of dysglycaemia metrics, especially TIR, and personalized glucose management based on diabetic status may help identify high-risk ICU patients and improve targeted care strategies.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13245"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NICC News: Vol 30, Issue 5.","authors":"Louise Stayt","doi":"10.1111/nicc.70184","DOIUrl":"https://doi.org/10.1111/nicc.70184","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70184"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Do Patients Fear on Their First Out-of-Bed Mobilisation Following Open-Heart Surgery? A Phenomenological Exploration.","authors":"Sevim Akbal, Meltem Yildirim, Seher Unver","doi":"10.1111/nicc.70152","DOIUrl":"10.1111/nicc.70152","url":null,"abstract":"<p><strong>Background: </strong>Patients' early experiences with mobilisation are crucial for preventing muscle weakness, enhancing respiratory function, supporting the cardiovascular system and accelerating the recovery process by avoiding complications associated with immobility. However, nurses sometimes encounter difficulties due to patients' reluctance to mobilise.</p><p><strong>Aim: </strong>To explore patients' experiences during their first out-of-bed mobilisation after open-heart surgery and to comprehend the underlying emotions associated with this experience.</p><p><strong>Study design: </strong>Participants were recruited using purposeful sampling. The sample consisted of 16 patients recovering from open-heart surgery. Individual face-to-face interviews were conducted using a semi-structured interview guide. Data were collected between 22 October 2022 and 15 May 2023. Each session lasted about 15 min. Colaizzi's 7-step framework for descriptive phenomenological analysis was utilised for data analysis.</p><p><strong>Results: </strong>Participants expressed fears of pain, dizziness and falls during out-of-bed mobilisation. Trust in nurses and their encouraging words were key factors in helping participants overcome their fears. Patients' positive mindsets and successful previous mobilisation experiences also contributed to their motivation for subsequent attempts.</p><p><strong>Conclusions: </strong>This study highlights the importance of tailored nursing interventions addressing psychological and physical concerns. They are essential for enhancing the recovery and mobility of these patients. Future research should explore specific interventions and multidisciplinary approaches, as well as post-discharge interviews for deeper insights.</p><p><strong>Relevance to clinical practice: </strong>The findings highlight the importance of tailored nursing interventions that address patients' psychological and physical concerns to enhance the process of post-surgical mobilisation.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70152"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}