Patient Mobilisation Attitudes and Beliefs Survey‐Intensive Care Unit: Turkish Validation and Reliability Study

PURPOSE: To assess the psychometric properties of the Turkish 'Patient Mobilization Attitudes & Beliefs Survey-ICU,' which was developed to identify the perceived barriers of healthcare professionals in mobilising patients in intensive care units. METHODS: The study was conducted from 3 December 2021 to 21 October 2023, methodologically. A total of 180 healthcare professionals, including 163 nurses, 12 physicians and five physiotherapists working in adult intensive care units of three tertiary hospitals in Türkiye, were recruited for the study. This study used translation-back-translation, the Davis method, confirmatory factor analysis, Cronbach's alpha and split-half test for validity and reliability of the scale. RESULTS: The validity and reliability analyses revealed the removal of the 5th, 6th, 13th and 20th items from the original scale, and a 22-item scale structure with two subscales was obtained. The Spearman-Brown coefficient was 0.799, and the Guttman coefficient was calculated as 0.782. The Cronbach alpha coefficient of the scale is 0.818; of the knowledge and attitude subscales is 0.721, and of the behaviour subscale is 0.708. CONCLUSION: The psychometric characteristics of the Turkish Patient Mobilization Attitudes & Beliefs Survey-ICU are a valid and reliable tool for determining the barriers healthcare professionals perceive about the mobilisation of intensive care patients. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Assessment of barriers to mobilisation of ICU patients will help nurses mobilise patients safely in the care routine, which will help reduce immobilisation complications. IMPACT: The use of scales in the evaluation of mobilisation in intensive care is limited. As a result of the research, the 'Patient Mobilization Attitudes & Beliefs Survey-ICU' scale was found to be a valid and reliable tool. This scale is important for healthcare professionals and patients to increase the mobilisation of intensive care patients. REPORTING METHOD: The study was reported according to the EQUATOR GRRAS guideline. PATIENT OR PUBLIC CONTRIBUTION: The study recruited healthcare professionals, including 163 nurses, 12 physicians and 5 physiotherapists, who were actively working in adult intensive care units. The study data was collected with 'Participant Information Form' and 'Patient Mobilization Attitudes & Beliefs Survey-ICU'. Participants were invited to engage in face-to-face interviews. Following an explanation of the study's objectives and criteria, verbal and written consent were obtained from 180 eligible healthcare professionals who volunteered to participate and completed the data collection forms.