Yoğun Bakım Hemşirelerinin Hasta Mobilizasyonuna Yönelik Algıladıkları Engellerin Belirlenmesi

Abstract

This study aimed to determine the intensive care unit nurses’ perceived barriers among mobilization of patients in intensive care, conducted in two stages, methodologically and descriptively, respectively. In the first stage, the Turkish validity and reliability study of the "Patient Mobilization Attitudes and Beliefs Research-ICU" is carried out with 180 health care professionals, including nurses (n=163), physicians (n=12) and physiotherapists (n=5), working in the adult intensive care units of three hospitals in Ankara. Descriptive statistics, Davis method in expert view analysis, confirmatory factor analysis in construct validity, Cronbach Alpha and split-half test were used in reliability analysis. Since the analyzes for the 5th, 6th, 13th and 20th items were not meaningful, the mentioned items were removed from scale and scale formed with 22 items, 2 subscales. New formed scales’ Cronbach Alpha coefficient calculated as 0.818, Spearman-Brown coefficient as 0.799 and the Guttman coefficient as 0.782. In the second stage, the validity and reliability tested scale was applied to 59 nurses, to determine the perceived barriers of intensive care nurses towards patient mobilization. Data were analyzed with descriptive statistics, independent t-tests, one-way analysis of variance, and Pearson's correlation. The mean score of the scale was 34.74±7.35. There was no significant difference between the dimensions and sub-dimensions of the scale according to the variables (p>0.05). In the study, the Turkish version of “Patient Mobilization Attitudes & Beliefs Survey-ICU” found as valid and reliable and the barriers perceived by nurses are mostly in the knowledge-attitude dimension; the barriers listed as inadequate equipment, contraindications and poor condition of patients, risk of injury to staff and increased workload. At the end of the study supporting and increasing the awareness of nurses’ about their mobilization responsibility in patient care and developing solutions for the identified barriers are recommended.