Barriers and facilitators of early mobilization in the pediatric intensive therapy unit: systematic review
DOI:
https://doi.org/10.1590/1809-2950/20026728032021Keywords:
Intensive Care Units, Pedriatric, Early AmbulationAbstract
|The purpose of this systematic review was to
identify the barriers and facilitators for the implementation
of early mobilization in the pediatric intensive care unit.
A systematic search was carried out based on studies that
addressed barriers and / or facilitators for early mobilization
in children and adolescents. Studies published until June
2019 in the MEDLINE®, Physiotherapy Evidence Database,
Latin American and Caribbean Literature in Health Sciences,
Cochrane Library, Scientific Electronic Library Online were
included. The selection and assessment of methodological
quality were carried out by two independent reviewers.
Data that could be identified as barriers and / or facilitators
were extracted for analysis. 358 records were found in the
databases, of which 13 articles were included. Eighteen
barriers were cited, the most cited being the insufficient
number of professionals and the team’s insecurity. Of the
11 facilitators cited, the most frequent were training/education
of the multidisciplinary team and the institution of guideline/
consensus. There are many barriers to be broken in order
for early mobilization to be effective, but some facilitators
are already known and can be implemented, making its
implementation viable for the pediatric population
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