Cardiovascular Intensive Care Unit Nurses‘ Perceptions of the Factors Affecting, Barriers to, and Facilitators of Early Mobilization.

Background: Although early mobilization has well-documented benefits for patients in intensive care units, it is not implemented as frequently as recommended. Previous studies have identified patient-related factors, time constraints, and inadequate staffing as barriers to the early mobilization of...

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Publicado en:Journal of Education & Research in Nursing / Hemşirelikte Eğitim ve Araştırma Dergisi Vol. 23; no. 3; pp. 176 - 182
Autores principales: Bulut, Hülya, Ay Kılıçaslan, Belma, Yıldız Emre, Nihal, Güler, Sevil
Formato: research tables/charts Journal Article
Publicado: Hemsirelikte Egitim ve Arastirma Dergisi Sep2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2026
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      pub: Hemsirelikte Egitim ve Arastirma Dergisi
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        10.14744/jern.2026.21556
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        atl: Cardiovascular Intensive Care Unit Nurses‘ Perceptions of the Factors Affecting, Barriers to, and Facilitators of Early Mobilization.
      aug:
        au:
          Bulut, Hülya
          Ay Kılıçaslan, Belma
          Yıldız Emre, Nihal
          Güler, Sevil
        affil: Department of Surgical Nursing, Gazi University Faculty of Nursing, Ankara, Türkiye.
      sug:
        subj:
          Surgery, Cardiovascular
          Cardiovascular Nurses Psychosocial Factors
          Critical Care Nurses Psychosocial Factors
          Nurse Attitudes
          Health Services Accessibility
          Early Ambulation
          Critically Ill Patients
          Coronary Care Units
          Human
          Male
          Female
          Adult
          Qualitative Studies
          Thematic Analysis
          Turkiye
          Descriptive Research
          Purposive Sample
          Personnel Staffing and Scheduling
          Surgical Patients
          Cardiac Patients
          Semi-Structured Interview
          Interview Guides
          Audiorecording
          Content Analysis
          Descriptive Statistics
          Adult: 19-44 years
          Male
          Female
      ab: Background: Although early mobilization has well-documented benefits for patients in intensive care units, it is not implemented as frequently as recommended. Previous studies have identified patient-related factors, time constraints, and inadequate staffing as barriers to the early mobilization of cardiovascular intensive care unit (CICU) patients. Aim: This study aimed to explore CICU nurses' perceptions of the factors affecting, barriers to, and facilitators of early mobilization in CICU patients. Methods: A descriptive qualitative study design was employed. Seven CICU nurses were recruited using purposive sampling. Data were collected through semi-structured interviews. Audio-recorded interviews were transcribed verbatim and analyzed using qualitative content analysis. Codes were generated from the transcripts and subsequently organized into categories and themes. Results: Participants reported that early mobilization is beneficial for CICU patients and should be prioritized according to each patient's clinical condition. Three themes and seven categories emerged: factors affecting early mobilization, barriers to early mobilization, and facilitators of early mobilization. Factors affecting mobilization included patient-related factors (hemodynamic stability, pain, fear, and muscle strength), environmental factors (limited space and medical equipment), and personnel-related factors (staff shortages and lack of experience). Barriers were categorized as physical (e.g., hemodynamic instability and pain) and psychological (e.g., fear and lack of self-confidence). Facilitators included preoperative education and adequate staffing support. Conclusion: The findings suggest that CICU nurses perceive patient-related factors, environmental conditions, and staffing issues as key influences on early mobilization. Improving staffing support, developing written protocols, and providing education may facilitate the implementation of early mobilization in CICUs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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