Being wheelchair-bound and being bedridden: Two concept analyses.
Johannes Schirghuber, Berta Schrems
PMID 36336822WHAT IT FOUND
Being wheelchair-bound and being bedridden share six attributes but differ in mobility limits and life-space confinement.
Passive wheelchair users need help to move, while bedridden people cannot sit up independently. This distinction guides targeted prevention of immobility complications.
Key findings
01Both conditions share six key attributes: need for help in daily activities, powerlessness, life-space confinement, mobility limitation, endurance, and weakness.
02The main difference is that bedridden people cannot maintain a sitting position or get out of bed independently, whereas passive wheelchair users can sit but need help to move.
03Bedridden people are permanently bound to bed and require 24-hour assistance for all daily activities, including skin care and feeding.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The analysis separated the concepts, which may have limited the view of the process of becoming bedridden. Only publications containing definitions were included, so some attributes or influencing factors may have been overlooked. This is a theoretical concept analysis, not a clinical study; it does not test interventions.
Declared interests
No external funding. No conflicts of interest declared.
The easy way to misread this
Do not interpret this as evidence that specific nursing interventions work. This paper defines concepts and suggests areas for care, but it does not report clinical outcomes from testing these ideas.