Multidisciplinary team perceptions about the implementation and safety of early mobilization for newborns in post-operative care
DOI:
https://doi.org/10.17267/2238-2704rpf.v11i4.4082Keywords:
Newborn, Early mobilization, Post-operative care, Multidisciplinary team, Patient safetyAbstract
BACKGROUND: Early mobilization can be a therapeutic intervention that can prevent long-term consequences from prolonged bed rest in post-operative newborns. OBJECTIVE: Describe the knowledge of the healthcare professionals in the Newborn Intensive Care Unit (NICU) about early mobilization and its safety for post-operative infants. METHODS: This research is an analytical descriptive cross-sectional study with mixed methods, performed by analyzing a questionnaire given to NICU health professionals. RESULTS: The sample was composed of 31 professionals, of which 64.5% affirm that they know what early mobilization means, most of whom defined the intervention in terms of motor activity, 83% believe it is beneficial, 77.4% consider early mobilization safe. However, 90% of the professionals showed concerns for possible adverse events, the most cited being device dislodgment and hemodynamic decompensation. The majority stated that early mobilization should be avoided when concerned about hemodynamic instability or the type of surgery. Approximately 71% affirm that they did not receive educational training for implementing early mobilization. CONCLUSION: This study showed the need for more training and education about early mobilization for professionals and the establishment of evidence-based institutional protocols.
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Choong K, Canci F, Clark H, Hopkins R, Kudchadkar S, Lati J, et al. Practice Recommendations for Early Mobilization in Critically Ill Children. J Pediatr Intensive Care. 2018;07(1):14–26. https://doi.org/10.1055/s-0037-1601424
Fan E. Critical illness neuromyopathy and the role of physical therapy and rehabilitation in critically ill patients. Respir Care. 2012;57(6):933-46. https://doi.org/10.4187/respcare.01634
Parry SM, Puthucheary ZA. The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiol Med. 2015;4:16. https://doi.org/10.1186/s13728-015-0036-7
Cuello-Garcia CA, Mai SHC, Simpson R, Al-Harbi S, Choong K. Early mobilization in critically ill children: A systematic review. J Pediatr. 2018;203:25-33.e6. https://doi.org/10.1016/j.jpeds.2018.07.037
Koo KKY, Choong K, Cook DJ, Herridge M, Newman A, Lo V, et al. Early mobilization of critically ill adults: a survey of knowledge, perceptions, and practices of Canadian physicians and physiotherapists. CMAJ Open. 2016;4(3):E448–54. https://doi.org/10.9778/cmajo.20160021
Bardin L. Análise de conteúdo. Lisboa: Persona; 1977.
Choong K, Foster G, Fraser DD, Hutchison JS, Joffe AR, Jouvet PA, et al. Acute rehabilitation practices in critically ill children: A multicenter study. Pediatr Crit Care Med. 2014;15(6):e270-9. https://doi.org/10.1097/pcc.0000000000000160
Wieczorek B, Ascenzi J, Kim Y, Otr L, Lenker H, Star C, et al. PICU Up!: Impact of a Quality Improvement Intervention to Promote Early Mobilization in Critically Ill Children. Pediatr Crit Care Med. 2017;17(12):e559-66. https://doi.org/10.1097/pcc.0000000000000983
Byrne E, Garber J. Physical therapy intervention in the neonatal intensive care unit. Phys Occup Ther Pediatr. 2013;33(1):75–110. https://doi.org/10.3109/01942638.2012.750870
Piva TC, Ferrari RS, Schaan CW. Early mobilization protocols for critically ill pediatric patients: Systematic review. Rev Bras Ter Intensiva. 2019;31(2):248–57. https://doi.org/10.5935/0103-507x.20190038
Almohalha L, Guerra RMR. Identification of the preterm neurobehavioral signs by the staff in Neonatal Intensive Care Unit (NICU). Rev. Ter. Ocup. Univ. 2011;22(2):117–26. https://doi.org/10.11606/issn.2238-6149.v22i2p117-126
Miranda WADS, Veras DS, Ataíde DS, Silva ABM, Queiroz AS, Aquino IF, et al. Os benefícios da mobilização precoce em crianças internadas em Unidade de Terapia Intensiva: Uma Revisão Integrativa de Literatura (RIL). Int. J. Dev. Res. 2020;10(12):42575-80. https://doi.org/10.37118/ijdr.20493.12.2020
Cameron EC, Maehle V, Reid J. The effects of early physical therapy intervention for very preterm, very low birth weight infants: A randomized controlled clinical trial. Pediatr Phys Ther. 2005;17(2):107–19. https://doi.org/10.1097/01.pep.0000163073.50852.58
Witmer CM, Takemoto CM. Pediatric hospital-acquired venous thromboembolism. Front Pediatr. 2017;5:198. https://doi.org/10.3389/fped.2017.00198
Panceri C, Pereira KRG, Valentini NC, Sikilero RHAS. The influence of hospitalization on motor development of infants admitted to Hospital de Clínicas de Porto Alegre. Revista HCPA [Internet]. 2012;32(2):161-8. Available from: https://seer.ufrgs.br/hcpa/article/view/25819
Zheng K, Sarti A, Boles S, Cameron S, Carlisi R, Clark H, et al. Impressions of early mobilization of critically ill children—clinician, patient, and family perspectives. Pediatr Crit Care Med. 2018;19(7):e350–7. https://doi.org/10.1097/pcc.0000000000001547
Ministério da Saúde (Brasil), Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. Atenção humanizada ao recém-nascido: Método Canguru: manual técnico [Internet]. 3a. ed. Brasília: Ministério da Saúde; 2017. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/atencao_humanizada_metodo_canguru_manual_3ed.pdf
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Copyright (c) 2021 Milena Velame Deitos; Amanda Lina Dias Andrade; Aline do Nascimento Andrade
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
