Barriers and Facilitators to Early Rehabilitation in the ICU: A Theory Driven Delphi Study
Brian H Cuthbertson, Shannon L Goddard, Fabiana Lorencatto, Ellen Koo, Louise Rose, Eddy Fan, Michelle E Kho, Dale M Needham, Gordon D Rubenfeld, Jill J Francis
Critical Care Medicine | LIPPINCOTT WILLIAMS & WILKINS | Published : 2020
OBJECTIVES: There is conflicting evidence for the effectiveness of early rehabilitation in the intensive care and marked variation in rates of implementation in practice. We aimed to identify barriers and facilitators to early rehabilitation in mechanically ventilated patients and their relevance to practice, as perceived by key ICU clinicians across North America. DESIGN: A Delphi study using the Theoretical Domains Framework, consisting of an initial qualitative round and subsequent quantitative rounds, was conducted to gather clinician agreement and perceived importance of barriers and facilitators to early rehabilitation. The survey included questions on the range of individual, sociocul..View full abstract
Supported, in part, by an operating grant from the Canadian Institutes of Health Research.