ArticleJournal of evaluation in clinical practice2021
Organizational structures and early mobilization practices in South African public sector intensive care units-A cross-sectional study.
Article in Journal of evaluation in clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The Unmet Critical Care Burden at a Central Hospital in a Resource-Limited Setting: A Point Prevalence Study.World journal of surgery · 2025Article
- Early mobilisation in Windhoek intensive care units: Practices, attitudes and barriers.The South African journal of physiotherapy · 2025Article
- Making sense of the outcome of a rehabilitation implementation trial in the intensive care unit: Mixed methods.The Southern African journal of critical care : the official journal of the Critical Care Society · 2025Article
- Implementation strategies to overcome barriers to early mobilisation practices in Zimbabwean and South African public sector ICUs: A Delphi study.The Southern African journal of critical care : the official journal of the Critical Care Society · 2024Article
- Development of an early mobilization practice for critically ill patients in intensive care units: a Delphi method study.American journal of translational research · 2024Article
- ICU quasi-speciality nurses' knowledge, attitudes and practices regarding early mobilization: A cross-sectional survey.Nursing open · 2023Article
- Barriers and facilitators to implementation of early mobilisation of critically ill patients in Zimbabwean and South African public sector hospitals: a qualitative study.Disability and rehabilitation · 2022Article
- Respiratory Support Adjustments and Monitoring of Mechanically Ventilated Patients Performing Early Mobilization: A Scoping Review.Critical care explorations · 2021Article
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Authors and funding
3 authors.
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Abstract
rationaleUnderstanding current early mobilization practice of patients in intensive care unit (ICU) is critical to the design and implementation of strategies to facilitate its application in a diverse population of critically ill patients encountered in public sector hospitals.
aimTo evaluate the organizational structures of South African public sector hospital ICUs and to describe early mobilization practices in these units.
methodsA cross-sectional survey was done in participating public hospitals from eight provinces in South Africa. Convenience sampling was done. Data collected included hospital and ICU structure, adult patient demographic and clinical data, and mobilization activities done in ICU over the previous 24 hours prior to the day of the survey.
resultsA total of 29 ICUs from 13 participating hospitals were surveyed resulting in 205 patient records. Majority of the surveyed ICUs were "open" type (n = 16; 55.2%). A standardized sedation scoring system was used in 18 units (62.1%) and only two units (6.9%) had an early mobilization protocol in place. Mean age of the patients surveyed was 43.5 (±17.7) years and 148 (72.2%) patients were on mechanical ventilation. Primary reasons for admission to ICU included traumatic injury (n = 86; 42%) and postoperative care (n = 33; 16.1%). Mobilization activities performed in the previous 24 hours included turning the patient in bed (n = 88; 42.9%), marching on the spot (n = 9; 4.4%) and walking (n = 10; 4.9%). Out-of-bed mobilization was done in only 40 (19.5%) patients. The most common barriers to early mobilization included patient unresponsiveness (n = 50; 24.4%) and hemodynamic instability (n = 42; 20.5%). The type of ventilation was found to have a significant positive relationship with out-of-bed patient mobilization (P = .000).
conclusionsA small proportion of patients attained their highest level of mobilization in ICU. The type of ventilation influenced early mobilization practices in public sector ICUs in South Africa.
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