Facilitators and barriers to physical activity in patients in an acute care hospital setting from an interprofessional perspective: A qualitative study.
Gesche Gertz, Gesche Ketels, Susanne Gr Klotz
PMID 40070124WHAT IT FOUND
Staff described health literacy as central to physical activity in hospitals.
Patients who can find, understand and use information may take responsibility and set goals, while pain, devices, bed-centred routines and time pressure block movement.
Key findings
01Health literacy was described as the underlying theme in all other issues.
02Pain and fear of pain were described as barriers that can make patients avoid activity.
03Bed-centred routines and ward interruptions were described as organizational barriers to activity.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only staff from a single German university hospital were interviewed, so views may not apply to other hospitals or countries. Participants were recruited partly through personal contacts, which may have selected people already interested in physical activity. Focus groups were held separately for each profession, so interprofessional disagreement or collaboration in practice was not observed. The study reports perceptions of facilitators and barriers, not patient activity levels or effects of any intervention.
Declared interests
The authors declared no potential conflicts of interest. Funding came from the ZVK-Foundation, a foundation for physiotherapy research and evaluation, and the funder was not involved in any part of the study.
The easy way to misread this
Do not read these themes as evidence that improving health literacy or changing ward routines increases patient physical activity. The study asked healthcare professionals what they thought helped or blocked activity; it did not measure patient outcomes or test an intervention.