- The articles used in the essay have to be quantitative studies about long term outcome of early moblization done in the icu, and how it effects physical function measured after discharge of the icu, 3 months or more after the discharge. It can be buy telephone or physical measures.
- The essay is a master and it has to be systematisk review, with introduction, method, results, discussion and conclusion.
– was the intervention done the same, was it initiated at the same time. Some articles write that they initiated it within 48 hours and others within a week,
– did the patients have the same starting point at the start of the intervention, were they equally ill, approximately the same age. 2 of the articles showing a significant difference had with self-breathing patients…
All included studies mention 4 factors that are fundamental to increased functional status, 1 activity level (how often and how much they were mobilized), 2 how early activity was initiated, 3. level of sedation and how sick the patients were during admission to the intensive care unit.. Self-breathing patients-> less sedation. 4. measurement tools. lost to follow-up – how it affects the result.
RJ, Sigvaldason K, Gunnsteinsdottir E, Haraldsdottir B, Sveinsson T, et al.
Effects of intensive upright mobilisation on outcomes of mechanically
ventilated patients in the intensive care unit: a randomised controlled trial
with 12-months follow-up. European Journal of Physiotherapy. 2021;23(2):68-78.
– Eggmann S, Verra ML, Luder
G, Takala J, Jakob SM. Effects of early, combined endurance and resistance training
in mechanically ventilated, critically ill patients: A randomised controlled
trial. PloS one. 2018;13(11):e0207428.
– Hodgson CL, Bailey M, Bellomo R, Berney S, Buhr H, Denehy L,
et al. A Binational Multicenter Pilot Feasibility Randomized Controlled Trial
of Early Goal-Directed Mobilization in the ICU*. Critical Care Medicine.
2016;44(6).
-Hodgson CL, Bailey M, Bellomo
R, Brickell K, Broadley T, Buhr H, et al. Early Active Mobilization during
Mechanical Ventilation in the ICU. New England Journal of Medicine.
2022;387(19):1747-58.
– Schujmann DS, Teixeira Gomes T, Lunardi AC, Zoccoler Lamano M,
Fragoso A, Pimentel M, et al. Impact of a Progressive Mobility Program on the
Functional Status, Respiratory, and Muscular Systems of ICU Patients: A
Randomized and Controlled Trial*. Critical Care Medicine. 2020;48(4).
-Stephen EW,
Kirsty T, Gillian W, Catherine B, Andrew B, Thomas JC, et al. Intensive versus
standard physical rehabilitation therapy in the critically ill (EPICC): a
multicentre, parallel-group, randomised controlled trial. Thorax. 2018;73(3):213.
The overall impression of the assignment is central to the assessment. By an article based
Master’s thesis, must justify and elaborate methodological questions.
Furthermore, the following areas are emphasized:
area of specialization in advanced clinical nursing
own problem and study
the problem and relates critically to previous studies
approach and own findings in a factual, critical and deliberative manner
is used, and justifies the choice of method in relation to the issue/purpose
the content
manufacture.