[Early mobilization. Competencies, responsibilities, milestones].
BACKGROUND
Early mobilization is an evident, interprofessional concept to improve the outcome of intensive care patients. It reduces psychocognitive deficits and delirium and attenuates a general deconditioning, including atrophy of the respiratory pump and skeletal muscles. In this regard the interdisciplinary approach of early mobilization, taking into account different levels of mobilization, appears to be beneficial. The purpose of this study was to explore opinions on collaboration and tasks between different professional groups.


METHODS
During the 25th Bremen Conference on Intensive Medicine and Nursing on 20 February 2015, a questionnaire survey was carried out among the 120 participants of the German Early Mobilization Network meeting.


RESULTS
In all, 102 questionnaires were analyzed. Most participants reported on the interdisciplinarity of the approach, but none of the tasks and responsibilities concerning early mobilization can be assigned to a single professional group. The practical implementation of mobilizing orally intubated patients may require two registered nurses as well as a physical therapist. Implementation in daily practice seems to be heterogeneous.


CONCLUSIONS
There is no consensus regarding collaboration, competencies, and responsibilities with respect to early mobilization of intensive care patients. The approach to date has been characterized by a lack of interprofessional communication, which may lead to an inefficient use of the broad and varied base of knowledge and experienceof the different professions.
Pflegeforschung, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Haus 31, Brunswiker Str. 10, 24105, Kiel, Deutschland. peter.nydahl@uksh.de.
P
P
Nydahl
Anästhesie und Intensivpflege, ALIAR - Association luxemburgeoise des Infirmier(e)s en Anästhesie et Réanimation, Dudelange, Luxemburg.
M
M
Dewes
Akademie der Kreiskliniken Reutlingen, Kreiskliniken Reutlingen GmbH, Steinenbergstr. 31, 72764, Reutlingen, Deutschland.
R
R
Dubb
Abteilung Physiotherapie, Universitätsklinikum Gießen und Marburg (UKGM) Standort Marburg, Baldinger Straße, 35033, Marburg, Deutschland.
S
S
Filipovic
Anästhesie und Intensivpflege, HELIOS Klinikum Siegburg, Ringstraße 49, 53721, Siegburg, Deutschland.
C
C
Hermes
Anästhesie und Intensivpflege, Asklepios Klinik Langen, Röntgenstraße 20, 63325, Langen, Deutschland.
F
F
Jüttner
Akademie der Kreiskliniken Reutlingen, Kreiskliniken Reutlingen GmbH, Steinenbergstr. 31, 72764, Reutlingen, Deutschland.
A
A
Kaltwasser
Fachleitung Zentrale Einrichtung Physiotherapie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Haus 31, Brunswiker Str. 10, 24105, Kiel, Deutschland.
S
S
Klarmann
Gesundheits- und Krankenpflege, IMC Fachhochschule Krems, Am Campus Krems, 3500, Krems, Österreich.
K
K
Klas
Anästhesiologie & Intensivmedizin, Neurologische Intensivstation, Klinik für Neurologie, Christophsbad Göppingen, Faurndauerstrasse 6-28, 73035, Göppingen, Deutschland.
H
H
Mende
Intensiv- und Anästhesiepflege, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37077, Göttingen, Deutschland.
O
O
Rothaug
Zentrum für Anästhesie, Intensiv- und Notfallmedizin, Zentralklinik Bad Berka GmbH, Robert-Koch-Allee 9, 99437, Bad Berka, Deutschland.
D
D
Schuchhardt
D000328:Adult; D001291:Attitude of Health Personnel; D003131:Combined Modality Therapy; D003422:Critical Care; D064648:Critical Care Nursing; D003693:Delirium / Q000628:therapy; D004434:Early Ambulation; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D026741:Physical Therapy Modalities; D011795:Surveys and Questionnaires
Delirium; Intensive care; Interdisciplinary health team; Physiotherapy; Survey