Barriers | Facilitators |
---|---|
Patient Factors | |
 Physiological instability (hemodynamic, respiratory, neurological)  Sedation  Low Glasgow Coma Scale  Delirium/agitation  Psychological state  Pain  Medical procedures/orders  Patient refusal/anxiety | Manage patient physiological instability Management of sedation & delirium Sleep Delirium screening/management Analgesia prior to mobilization Patient goals Family engagement and education |
Intensive Care Team Factors | |
 Poor culture  Lack of communication  Lack of leadership  Disengaged team members  Inexperienced staff  Lack of planning and coordination  Unclear expectations  Risk for mobility providers  Femoral lines  Early ward transfers  Anticipated risks | Develop a positive team culture Ward rounds, multidisciplinary team meetings Designated leaders Team planning and communication Education and up-skilling staff Screening of appropriate patients Flexible and cooperative team members Utilization of safety criteria for mobilizing mechanically ventilated patients Anticipated benefits |
Organizational Factors | |
 Lack of funding  Time constraints  Lack of equipment and resources  Lack of staffing or availability  Busy caseloads | Business case for additional staff to outline the economic benefits for the organization Appropriate equipment & resources Dedicated staffing Mobility guidelines/protocol Training on appropriate equipment |