Perspectives of health professionals on physical activity and sedentary behaviour in hospitalised adults: A systematic review and thematic synthesis.
Tahlia Alsop, James Woodforde, Ingrid Rosbergen and 3 others
PMID 37070142WHAT IT FOUND
Hospital staff said physical activity was not a priority, despite knowing its benefits.
Bed rest culture, limited staff and time, unclear roles, and safety policies pushed them to keep patients in bed.
Key findings
01Across forty included studies involving 1408 health professionals, staff said physical activity was not a priority despite recognising its benefits.
02Resource constraints, especially time, personnel and equipment, were the most frequently cited barrier to promoting movement and reducing sitting time.
03Falls prevention, manual handling and mobility policies were seen to prioritise safety over movement, reinforcing a culture of bed rest.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
This is a synthesis of staff perspectives, not evidence that any practice change improved patient activity, function, falls or length of stay. The included studies varied in methodological quality, and low-quality studies were not excluded. Only English-language studies were included, so relevant work in other languages may be missing. Most studies predated the pandemic, so pandemic staffing, isolation and visitor restrictions may limit transfer to current hospital conditions. Some included studies were nested in interventions, so staff views may have been shaped by participation in a programme. Patient and caregiver perspectives were excluded, so the summary reflects staff views only. Structured exercise programmes were excluded, so it does not answer questions specific to exercise prescription.
Declared interests
The authors declared no potential conflicts of interest. The funding statement says an author was supported by an Australian Government and University of Queensland scholarship.
The easy way to misread this
Do not read this as evidence that reducing bed rest improves patient outcomes. It reports staff perceptions and themes, not measured effects on activity, function or falls.