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September 5, 2026Journal of Pediatric Intensive Care

Barriers to Adherence of Early Mobilization Protocols in the PICU

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Authors

KRKatherine M. RodriguezTHTaemyn HollisVKValerie Kalinowski

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Overview

Cross-sectional survey study reveals a shift from safety concerns to workload and sedation barriers in pediatric intensive care providers, indicating evolving challenges during protocol rollout.

Key Points

  • Assess perceived healthcare provider barriers to early mobilization before and after introducing an early mobility protocol in a pediatric intensive care unit.
  • Administered anonymous surveys to 94 multidisciplinary pediatric intensive care providers (nurses, physicians, and therapists) at a single tertiary center.
  • Conducted a baseline survey prior to multidisciplinary education and rollout of the 'Move Jr.' early mobility protocol.
  • Distributed a follow-up survey to the same provider cohort four months post-implementation to evaluate protocol knowledge, opinion changes, and persistent barriers.
  • Prior to protocol rollout, providers favored early mobility but cited accidental extubation, loss of central venous lines, and time limitations as the top three barriers.
  • At four months post-implementation, the top three perceived barriers shifted to time constraints, increased workload, and patient sedation levels.

Cite This Study

Rodriguez et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4606b95aff0620ec0dehttps://doi.org/10.53391/2146-4618.1077
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