Qualitative, grounded theory exploration of patients' experience of early mobilisation, rehabilitation and recovery after critical illness

BMJ Open
Evelyn J CornerStephen J Brett

Abstract

Physical rehabilitation (encompassing early mobilisation) of the critically ill patient is recognised best practice; however, further work is needed to explore the patients' experience of rehabilitation qualitatively; a better understanding may facilitate implementation of early rehabilitation and elucidate the journey of survivorship. To explore patient experience of physical rehabilitation from critical illness during and after a stay on intensive care unit (ICU). Exploratory grounded theory study using semistructured interviews. Adult medical/surgical ICU of a London teaching hospital. A purposive sample of ICU survivors with intensive care unit acquired weakness (ICUAW) and an ICU length of stay of >72 hours. Data analysis followed a four-stage constant comparison technique: open coding, axial coding, selective coding and model development, with the aim of reaching thematic saturation. Peer debriefing and triangulation through a patient support group were carried out to ensure credibility. Fifteen people were interviewed (with four relatives in attendance). The early rehabilitation period was characterised by episodic memory loss, hallucinations, weakness and fatigue, making early rehabilitation arduous and difficult to rec...Continue Reading

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Citations

Aug 10, 2019·Annals of the American Thoracic Society·Mel E MajorMarike van der Schaaf
Aug 29, 2020·Scandinavian Journal of Caring Sciences·Julie Jacoby PetersenAnne Brødsgaard
Oct 22, 2019·Nursing in Critical Care·Jody EdeChristian P Subbe
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Jul 15, 2021·Nursing in Critical Care·Louise Buus VesterPia Dreyer
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Dec 24, 2021·Nursing Science Quarterly·Nahid Dehghan NayeriSteven L Baumann
Dec 28, 2021·Qualitative Health Research·Stine Irene FlinterudSidsel Ellingsen

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Methods Mentioned

BETA
sedation

Software Mentioned

ICUAW
NVivo

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