Challenges experienced by cardiac intensive care nurses during first out-of-bed patient mobilization after open-heart surgery: A descriptive phenomenological qualitative study

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dc.authoridSen, Sevim/0000-0002-6216-2342
dc.authoridUNVER, SEHER/0000-0003-1320-1437
dc.authorwosidSen, Sevim/JAC-3274-2023
dc.authorwosidYildirim, Meltem/K-8454-2018
dc.authorwosidUNVER, SEHER/A-1472-2017
dc.contributor.authorUnver, Seher
dc.contributor.authorYildirim, Meltem
dc.contributor.authorAkbal, Sevim
dc.contributor.authorSever, Seda
dc.date.accessioned2024-06-12T10:55:43Z
dc.date.available2024-06-12T10:55:43Z
dc.date.issued2024
dc.departmentTrakya Üniversitesien_US
dc.description.abstractAim To investigate the potential challenges experienced by cardiac intensive care unit (ICU) nurses in the first out-of-bed patient mobilization after open-heart surgery and propose solutions. Design A qualitative study design using the descriptive phenomenological approach. Methods Individual face-to-face interviews were conducted via a widely used videoconferencing program between 28 July and 22 October 2022, in the tertiary cardiac ICU of a university hospital. Nurses who had at least 1 year of cardiac ICU experience and actively participating in patient care were included. The COREQ criteria and checklist were followed in this investigation and the data were analysed by using the ATLAS.ti 8.0. Findings Nurses reported that they experience challenges when mobilizing patients, such as patients' fear, reluctance or resistance; nurses having insufficient experience, strength or lack of team members. Despite these challenges, they highlighted some positive outcomes of mobilization, such as feeling happy, reinforced team communication and nurse-patient relationship. The nurses also suggested some facilitators, such as patient motivation and an explanation of the process. Conclusion Nurses experience various patient-related and nurse-related challenges during the first out-of-bed mobilization of the patient after open-heart surgery. It is recommended that healthcare institutions should implement effective strategies to address the staffing shortages and to support nurse motivation to ensure adequate nursing care. Impact This study provides valuable insights into the existing literature by examining the potential challenges and strategies of the first out-of-bed patient mobilization in the cardiac ICU. It shows that patient education and organizational adaptations are effective ways to overcome the challenges. It also suggests that motivating and informing patients before the mobilization can make the process easier. Moreover, it reveals that successful patient mobilization makes nurses happy, improves team communication and strengthens nurse-patient relationship. Patient and Public Involvement and EngagementNo patient or public contribution.en_US
dc.identifier.doi10.1111/jan.16091
dc.identifier.issn0309-2402
dc.identifier.issn1365-2648
dc.identifier.pmid38318643en_US
dc.identifier.scopus2-s2.0-85184174136en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1111/jan.16091
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19531
dc.identifier.wosWOS:001158173000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Advanced Nursingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCardiac Surgeryen_US
dc.subjectChallengesen_US
dc.subjectMobilizationen_US
dc.subjectNursesen_US
dc.subjectQualitative Researchen_US
dc.subjectMusculoskeletal Disordersen_US
dc.subjectBarriersen_US
dc.subjectInterviewsen_US
dc.subjectRecoveryen_US
dc.subjectBurnouten_US
dc.subjectHealthen_US
dc.subjectPainen_US
dc.titleChallenges experienced by cardiac intensive care nurses during first out-of-bed patient mobilization after open-heart surgery: A descriptive phenomenological qualitative studyen_US
dc.typeArticleen_US

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