Patient Mobilisation Attitudes and Beliefs Survey-Intensive Care Unit: Turkish Validation and Reliability Study.
Sevgi Uzuntepe, Imatullah Akyar
PMID 41917746WHAT IT FOUND
The Turkish version of the ICU mobilisation barrier survey dropped four items and merged knowledge with attitude into one subscale, leaving 22 items across two domains.
It is a usable tool for assessing staff perceptions, not a measure of patient outcomes.
Key findings
01The adapted Turkish scale has 22 items in two subscales (knowledge-attitude and behaviour) after removing four items that showed poor fit.
02Internal consistency for the revised 22-item scale was acceptable, with a total Cronbach's alpha of 0.818.
03Participants reported a mean total barrier score of 50.23 on a 0-100 scale, where higher scores indicate more perceived barriers to mobilisation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was overwhelmingly nurses (163 of 180), with very few physicians (12) and physiotherapists (5), so results may not reflect other professions' views. More than half of the participants had no formal training in ICU mobilisation, which may inflate barrier scores due to lack of knowledge rather than systemic issues. The study only assessed validity and reliability; it did not test whether using the scale improves mobilisation practice or patient outcomes. Self-report data may be subject to bias. Test-retest reliability was not assessed.
Declared interests
The authors declare no conflicts of interest and state they have nothing to report regarding funding.
The easy way to misread this
Do not interpret the high barrier scores or the scale's validation as evidence that this survey improves patient mobilisation rates or clinical outcomes. It is a measurement tool for staff perceptions, and the removal of items related to PT/OT and family involvement reflects the specific cultural and structural context of the Turkish ICUs studied, not a universal definition of mobilisation barriers.