Abstract
Aims and objectives: To examine nurse-experienced effects of using Kinaesthetic for active mobilization of ICU patients in regard to active use of the patients’ movement competences and physical work-related strain for nursing staff. Background: ICU patients often survive with permanently decreased functional levels, both physically and mentally. Active mobilization helps to maintain functional abilities. Kinaesthetic is an educational and supportive method of stimulating and training patients’ movements and their own contribution to mobilization. Design: Mixed methods with semi-structured interviews and a questionnaire survey. Methods: A four-day Kinaesthetic course was completed by 41 (61%) of ICU nurses between September 2015-March 2017. Semi-structured individual interviews and focus group interviews with course participants and non-participants were conducted, followed by a questionnaire survey between August-November 2017. Results Interviews: Kinaesthetic trainees and course participants found that Kinaesthetic helped to get patients mobilized quicker and more actively. Non-participants generally found Kinaesthetic useful, but often had a “them and us” attitude towards their experience. Questionnaire: A total of 50 (75%) participated. Most of those who had participated on the Kinaesthetic course used their new knowledge often or very often. They now involved the patients in mobilization more than before and mobilization entailed less physical strain for the staff. Nonparticipants had more varied experiences, but the majority still felt that the ICU should continue to focus on Kinaesthetic. Conclusions: Based on nurses’ experiences, Kinaesthetic is a workable method to include patients’ movement competences in mobilising ICU patients. Furthermore, the use of Kinaesthetic may reduce physical work-related strain for nursing staff. Relevance to clinical practice: Initiatives to maintain as many of hospitalized patients’ functional abilities as possible are needed. Using the concepts of Kinaesthetic helps maintaining patients’ movement competences and may be valuable to implement in all units dealing with patient mobilization issues.
Highlights
Use of Kinaesthetic in patient mobilization an evaluation study Jensen, Hanne Irene; Rasmussen, Anna H; Breier, Anne; Frederiksen, Gitte V
Giving the patient more time to react helps to support and maintain the mobility they www.raftpubs.com had before being admitted to the intensive care unit (ICU). “...you sort of surrender your self-esteem when you walk into the hospital; we can give a part of that back to them” (Individual interview, Kinaesthetic instructor trainee)
The nurses who had not yet participated in the Kinaesthetic course were generally positive towards using Kinaesthetic in the ICU because they found that it generally helped in getting the patients more actively involved, but they found it to be more time consuming
Summary
Use of Kinaesthetic in patient mobilization an evaluation study Jensen, Hanne Irene; Rasmussen, Anna H; Breier, Anne; Frederiksen, Gitte V. There is sparse literature outside Germany on the effect of Kinaesthetic, and this paper offers both an introduction to the concepts of Kinaesthetic and presentation of nurse experienced effects of using Kinaesthetic This is relevant in ICUs but in all units dealing with patient mobilization issues. Kinaesthetic can be used as an educational and supportive method of stimulating and training patients’ movements and their own contribution to mobilization. It strengthens the patients’ movement competences and provides them with the opportunity to play a more active role in their own healing process. The concepts of Kinaesthetic may reduce the physical work-related strain for nursing staff [9]
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