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DC Field | Value | Language |
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dc.contributor.author | Woodbridge, HR | - |
dc.contributor.author | Norton, C | - |
dc.contributor.author | Jones, M | - |
dc.contributor.author | Brett, SJ | - |
dc.contributor.author | Alexander, CM | - |
dc.contributor.author | Gordon, AC | - |
dc.date.accessioned | 2024-03-04T19:52:41Z | - |
dc.date.available | 2024-03-04T19:52:41Z | - |
dc.date.issued | 2023-11-08 | - |
dc.identifier | ORCiD: Huw R Woodbridge https://orcid.org/0000-0003-3823-9757 | - |
dc.identifier | ORCiD: Mandy Jones https://orcid.org/0000-0002-3588-9060 | - |
dc.identifier | ORCiD: Stephen J Brett https://orcid.org/0000-0003-4545-8413 | - |
dc.identifier | e073061 | - |
dc.identifier.citation | Woodbridge, H.R. et al. (2023) 'Clinician and patient perspectives on the barriers and facilitators to physical rehabilitation in intensive care: a qualitative interview study', BMJ Open, 13 (11), e073061, 1 - 9 (+ 12 pp.of supplementary materials). doi: 10.1136/bmjopen-2023-073061. | en_US |
dc.identifier.uri | https://bura.brunel.ac.uk/handle/2438/28472 | - |
dc.description | Data availability statement: No data are available beyond what is reported in this manuscript and the supplemental files due to participant confidentiality requirements. | en_US |
dc.description.abstract | Objectives: The objective of this study is to explore patient, relative/carer and clinician perceptions of barriers to early physical rehabilitation in intensive care units (ICUs) within an associated group of hospitals in the UK and how they can be overcome. Design: Qualitative study using semi-structured interviews and thematic framework analysis. Setting: Four ICUs over three hospital sites in London, UK. Participants: Former ICU patients or their relatives/carers with personal experience of ICU rehabilitation. ICU clinicians, including doctors, nurses, physiotherapists and occupational therapists, involved in the delivery of physical rehabilitation or decisions over its initiation. Primary and secondary outcomes measures: Views and experiences on the barriers and facilitators to ICU physical rehabilitation. Results: Interviews were carried out with 11 former patients, 3 family members and 16 clinicians. The themes generated related to: safety and physiological concerns, patient participation and engagement, clinician experience and knowledge, teamwork, equipment and environment and risks and benefits of rehabilitation in intensive care. The overarching theme for overcoming barriers was a change in working model from ICU clinicians having separate responsibilities (a multidisciplinary approach) to one where all parties have a shared aim of providing patient-centred ICU physical rehabilitation (an interdisciplinary approach). Conclusions: The results have revealed barriers that can be modified to improve rehabilitation delivery in an ICU. Interdisciplinary working could overcome many of these barriers to optimise recovery from critical illness. | en_US |
dc.description.sponsorship | Clinical Doctoral Research Fellowship, awarded to HRW, (ICA-CDRF-2015-01-026), supported by the National Institute for Health Research (NIHR) and Health Education England. We acknowledge the support of the NIHR Clinical Research Network and infrastructure support for this research was provided by the NIHR Imperial Biomedical Research Centre (BRC). HRW is supported by the NIHR Imperial BRC. | en_US |
dc.format.extent | 1 - 9 (+ 12 pp.of supplementary materials) | - |
dc.format.medium | Electronic | - |
dc.language | English | - |
dc.language.iso | en | en_US |
dc.publisher | BMJ Publishing Group | en_US |
dc.rights | Copyright information: © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: https://creativecommons.org/licenses/by/4.0/. | - |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | - |
dc.title | Clinician and patient perspectives on the barriers and facilitators to physical rehabilitation in intensive care: a qualitative interview study | en_US |
dc.type | Article | en_US |
dc.identifier.doi | https://doi.org/10.1136/bmjopen-2023-073061 | - |
dc.relation.isPartOf | BMJ Open | - |
pubs.issue | 11 | - |
pubs.publication-status | Published | - |
pubs.volume | 13 | - |
dc.identifier.eissn | 2044-6055 | - |
dc.rights.license | https://creativecommons.org/licenses/by/4.0/legalcode.en | - |
dc.rights.holder | Author(s) (or their employer(s)) | - |
Appears in Collections: | Dept of Health Sciences Research Papers |
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