Literature Search Strategy Employed: Google Scholar and PubMed are the best library databases for searching for the chosen keywords. This literature search used keywords such as ‘intubated adult patients,’ ‘early mobility,’ ‘mechanical ventilation,’ and ‘ICU stay.’
| Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
| APA Reference All peer-reviewed journal articles should be current (published within the last five years) and closely related to the PICOT question developed earlier in this course. Include the GCU permalink, or working link used to access the article. | Menges, D., Seiler, B., Tomonaga, Y., Schwenkglenks, M., Puhan, M. A., & Yebyo, H. G. (2021). Systematic early versus late mobilization or standard early mobilization in mechanically ventilated adult ICU patients: systematic review and meta-analysis. Critical Care, 25, 1-24. https://link.springer.com/article/10.1186/s13054-020-03446-9 | TEAM Study Investigators, & ANZICS Clinical Trials Group. (2022). Early active mobilization during mechanical ventilation in the ICU. The New England Journal of Medicine, 387(19), 1747-1758. https://www.nejm.org/doi/full/10.1056/NEJMoa2209083 | Alaparthi, G. K., Gatty, A., Samuel, S. R., & Amaravadi, S. K. (2020). Effectiveness, safety, and barriers to early mobilization in the intensive care unit. Critical Care Research and Practice, 2020. https://www.hindawi.com/journals/ccrp/2020/7840743/ | Hermes, C., Nydahl, P., Blobner, M., Dubb, R., Filipovic, S., Kaltwasser, A., … & Schaller, S. J. (2020). Assessment of mobilization capacity in 10 different ICU scenarios by different professions. PLoS One, 15(10). https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0239853 |
| Purpose/Aim of Study | To find out the effectiveness of systemic early mobilization in improving physical functioning and muscle strength in ICU patients on mechanical ventilators. | To determine whether early mobilization techniques, such as daily physiotherapy and reducing sedation levels, reduce hospital stay compared to usual care. | The authors aimed to summarize different findings about early mobilization in the ICU. | The researchers aimed to differentiate how different nursing professions use the ICU Mobility Score to determine which ICU patients require intervention. |
| Research questions (Qualitative)/Hypothesis (Quantitative) | This qualitative study questioned whether early mobilization will improve muscle strength. |
The quantitative study hypothesized that early mobilization leads to shorter hospital stays than usual care. | The qualitative study questioned the effectiveness of different mobilization techniques on different sets of patients. | The quantitative study hypothesized that different professions use the ICU Mobility Score differently. |
| Design Type of quantitative or type of qualitative study design | Systematic review and meta-analysis design. | The researchers used a randomized control trial design. | The researchers used a literature review design. | The researchers used an online survey design. |
| Setting Where did the study take place? What type of setting – inpatient, outpatient, etc.? | The setting was in ICU wards. | The setting was in ICU wards. | The setting was the ICU wards that other authors explored. | The setting was Germany-based healthcare professionals in critical care teams. |
| Sample Number and characteristics of participants | There were 12 eligible participants from a sample of 1304 ICU patients. | There were 750 adult ICU patients on mechanical ventilators. | The researchers collected 56 studies that contributed to the topic of early mobilization. | 515 participants from 788 critical care teams participat
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