{"id":"https://openalex.org/W2958295482","doi":null,"title":"Barriers and Facilitators to Early Physical Rehabilitation in Mechanically Ventilated Patients","display_name":"Barriers and Facilitators to Early Physical Rehabilitation in Mechanically Ventilated Patients","publication_year":2017,"publication_date":"2017-06-01","ids":{"openalex":"https://openalex.org/W2958295482","mag":"2958295482"},"language":"en","primary_location":{"id":"pmh:oai:utoronto.scholaris.ca:1807/95680","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1807/95680","pdf_url":"https://utoronto.scholaris.ca/bitstreams/25aabee5-a829-4423-addd-9138dd6dd62f/download","source":{"id":"https://openalex.org/S4306400261","display_name":"TSpace (University of Toronto)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I185261750","host_organization_name":"University of Toronto","host_organization_lineage":["https://openalex.org/I185261750"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://utoronto.scholaris.ca/bitstreams/25aabee5-a829-4423-addd-9138dd6dd62f/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038224035","display_name":"Shannon L. Goddard","orcid":"https://orcid.org/0000-0001-6822-4623","observed_orcids":["https://orcid.org/0000-0001-6822-4623"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Shannon L. Goddard","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-6822-4623","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5038224035"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.7865999937057495,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.7865999937057495,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.07590000331401825,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.04749999940395355,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/early-physical-rehabilitation","display_name":"early physical rehabilitation","score":0.9789999723434448},{"id":"https://openalex.org/keywords/mechanical-ventilation","display_name":"mechanical ventilation","score":0.8119999766349792},{"id":"https://openalex.org/keywords/critically-ill-patients","display_name":"critically ill patients","score":0.9269999861717224},{"id":"https://openalex.org/keywords/barriers-and-facilitators","display_name":"barriers and facilitators","score":0.9049999713897705},{"id":"https://openalex.org/keywords/theoretical-domains-framework","display_name":"Theoretical Domains Framework","score":0.9049999713897705},{"id":"https://openalex.org/keywords/implementation-of-evidence-based-practice","display_name":"evidence-based practice implementation","score":0.8560000061988831},{"id":"https://openalex.org/keywords/delphi-method","display_name":"Delphi method","score":0.7149999737739563},{"id":"https://openalex.org/keywords/nurses","display_name":"nurses","score":0.33799999952316284},{"id":"https://openalex.org/keywords/respiratory-therapists","display_name":"respiratory therapists","score":0.9860000014305115},{"id":"https://openalex.org/keywords/physician-attitudes","display_name":"physician attitudes","score":0.5080000162124634},{"id":"https://openalex.org/keywords/behavior-change-theories","display_name":"behaviour change theory","score":0.43799999356269836}],"concepts":[{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.6443256139755249},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4723576009273529},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.4459609389305115},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4024219512939453},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3633406162261963},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.33862605690956116}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:utoronto.scholaris.ca:1807/95680","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1807/95680","pdf_url":"https://utoronto.scholaris.ca/bitstreams/25aabee5-a829-4423-addd-9138dd6dd62f/download","source":{"id":"https://openalex.org/S4306400261","display_name":"TSpace (University of Toronto)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I185261750","host_organization_name":"University of Toronto","host_organization_lineage":["https://openalex.org/I185261750"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"mag:2958295482","doi":null,"is_oa":false,"landing_page_url":"https://tspace.library.utoronto.ca/bitstream/1807/95680/1/Goddard_Shannon_201706_PhD_thesis.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:utoronto.scholaris.ca:1807/95680","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1807/95680","pdf_url":"https://utoronto.scholaris.ca/bitstreams/25aabee5-a829-4423-addd-9138dd6dd62f/download","source":{"id":"https://openalex.org/S4306400261","display_name":"TSpace (University of Toronto)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I185261750","host_organization_name":"University of Toronto","host_organization_lineage":["https://openalex.org/I185261750"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2958295482.pdf","grobid_xml":"https://content.openalex.org/works/W2958295482.grobid-xml"},"referenced_works_count":123,"referenced_works":["https://openalex.org/W62803530","https://openalex.org/W152910681","https://openalex.org/W204046373","https://openalex.org/W206334289","https://openalex.org/W1526529787","https://openalex.org/W1530587663","https://openalex.org/W1559156710","https://openalex.org/W1659136013","https://openalex.org/W1773105809","https://openalex.org/W1778126210","https://openalex.org/W1823609209","https://openalex.org/W1826310230","https://openalex.org/W1966283993","https://openalex.org/W1966472590","https://openalex.org/W1970458246","https://openalex.org/W1971765404","https://openalex.org/W1973291291","https://openalex.org/W1977097842","https://openalex.org/W1977210263","https://openalex.org/W1977487088","https://openalex.org/W1983989358","https://openalex.org/W1993429934","https://openalex.org/W1994595005","https://openalex.org/W2000756847","https://openalex.org/W2004998362","https://openalex.org/W2008037924","https://openalex.org/W2020155291","https://openalex.org/W2021543873","https://openalex.org/W2022518136","https://openalex.org/W2029396930","https://openalex.org/W2032077891","https://openalex.org/W2033749710","https://openalex.org/W2036157793","https://openalex.org/W2036733648","https://openalex.org/W2045299302","https://openalex.org/W2046339686","https://openalex.org/W2050048538","https://openalex.org/W2050236294","https://openalex.org/W2055827776","https://openalex.org/W2060112744","https://openalex.org/W2060334116","https://openalex.org/W2065177605","https://openalex.org/W2066161830","https://openalex.org/W2072206254","https://openalex.org/W2074184531","https://openalex.org/W2077109464","https://openalex.org/W2077201173","https://openalex.org/W2077583117","https://openalex.org/W2079223450","https://openalex.org/W2081753990","https://openalex.org/W2083029092","https://openalex.org/W2093647392","https://openalex.org/W2094924948","https://openalex.org/W2097859515","https://openalex.org/W2099385941","https://openalex.org/W2102255401","https://openalex.org/W2103205346","https://openalex.org/W2103377973","https://openalex.org/W2105501846","https://openalex.org/W2108485082","https://openalex.org/W2108871219","https://openalex.org/W2109005423","https://openalex.org/W2111597613","https://openalex.org/W2111861407","https://openalex.org/W2112601142","https://openalex.org/W2113904988","https://openalex.org/W2116089402","https://openalex.org/W2116509186","https://openalex.org/W2116567300","https://openalex.org/W2117294447","https://openalex.org/W2118240638","https://openalex.org/W2120310453","https://openalex.org/W2123875706","https://openalex.org/W2129598114","https://openalex.org/W2130271602","https://openalex.org/W2132237350","https://openalex.org/W2133697691","https://openalex.org/W2134257665","https://openalex.org/W2134830322","https://openalex.org/W2136529928","https://openalex.org/W2139074866","https://openalex.org/W2142360393","https://openalex.org/W2142582365","https://openalex.org/W2142927411","https://openalex.org/W2144760470","https://openalex.org/W2145577370","https://openalex.org/W2145878627","https://openalex.org/W2146628892","https://openalex.org/W2148087591","https://openalex.org/W2148093994","https://openalex.org/W2149133507","https://openalex.org/W2150768006","https://openalex.org/W2151509777","https://openalex.org/W2153222072","https://openalex.org/W2157889190","https://openalex.org/W2158881221","https://openalex.org/W2159078156","https://openalex.org/W2160489243","https://openalex.org/W2162478055","https://openalex.org/W2162544110","https://openalex.org/W2163167101","https://openalex.org/W2164468404","https://openalex.org/W2165010366","https://openalex.org/W2165207561","https://openalex.org/W2165447041","https://openalex.org/W2166598408","https://openalex.org/W2168190331","https://openalex.org/W2169676655","https://openalex.org/W2182200928","https://openalex.org/W2193015193","https://openalex.org/W2208931577","https://openalex.org/W2227283568","https://openalex.org/W2262671496","https://openalex.org/W2272935065","https://openalex.org/W2322707526","https://openalex.org/W2326471898","https://openalex.org/W2326828534","https://openalex.org/W2403595162","https://openalex.org/W2465839541","https://openalex.org/W2509368528","https://openalex.org/W2525291310","https://openalex.org/W2530272623","https://openalex.org/W4294214797"],"related_works":["https://openalex.org/W2788332499","https://openalex.org/W6977590299","https://openalex.org/W6921272698","https://openalex.org/W6939709161","https://openalex.org/W3090797859","https://openalex.org/W6939595840","https://openalex.org/W6939764098","https://openalex.org/W6920790584","https://openalex.org/W3016531453","https://openalex.org/W2553595966"],"abstract_inverted_index":{"Background:":[0],"Physical":[1],"rehabilitation":[2,122],"strategies,":[3],"when":[4],"initiated":[5],"in":[6,40,49,58,123,235],"critically":[7],"ill":[8],"patients,":[9],"may":[10,17,63],"improve":[11,94],"functional":[12],"outcomes":[13],"of":[14,20,26,55,96,106,131,153,166,170,194,198,223,233,253,278],"survivors":[15],"and":[16,23,71,73,112,117,140,156,161,183,213,238,258,260,281,290],"shorten":[18],"duration":[19],"mechanical":[21],"ventilation":[22],"ICU":[24],"length":[25],"stay,":[27],"although":[28,270],"evidence":[29,97],"is":[30,60,83],"conflicting.":[31],"Despite":[32],"some":[33],"conflicting":[34],"evidence,":[35],"it":[36],"has":[37],"been":[38,46],"recommended":[39],"clinical":[41],"practice":[42],"guidelines,":[43],"but":[44,62],"not":[45],"consistently":[47],"implemented":[48],"critical":[50],"care":[51],"units.":[52],"The":[53,78,144,163,191,220,264],"implementation":[54,95],"complex":[56],"interventions":[57],"healthcare":[59],"challenging,":[61],"be":[64],"improved":[65],"using":[66,134,186],"theory":[67,234],"to":[68,75,93,119,137,243],"understand":[69],"barriers":[70,116,139,237],"facilitators,":[72],"ultimately":[74],"design":[76],"interventions.":[77],"Theoretical":[79],"Domains":[80],"Framework":[81],"(TDF)":[82],"a":[84,104,128,150,176,187,202,230,247,273],"framework":[85],"based":[86,98,108,205],"on":[87,109,206,250,275],"health":[88],"psychology":[89],"that":[90,210,227],"was":[91,142,181,229],"designed":[92],"practice.":[99],"Methods:":[100],"This":[101],"dissertation":[102],"describes":[103],"series":[105],"projects,":[107],"the":[110,132,135,167,174,195,216,224,241,251,276],"TDF,":[111,175],"aimed":[113],"at":[114],"understanding":[115],"facilitators":[118,141],"early":[120],"physical":[121,155],"mechanically":[124],"ventilated":[125],"patients.":[126],"First,":[127],"systematic":[129,221],"review":[130,222],"literature,":[133],"TDF":[136,242],"synthesize":[138],"done.":[143],"following":[145,192],"two":[146],"research":[147,217],"chapters":[148],"describe":[149],"Delphi":[151,168,196],"study":[152,266],"nurses,":[154],"occupational":[157],"therapists,":[158],"respiratory":[159],"therapists":[160],"physicians.":[162],"first":[164],"round":[165],"consisted":[169,197],"semi-structured":[171],"interviews.":[172],"With":[173],"theoretically":[177],"driven":[178],"topic":[179],"guide":[180],"developed":[182],"interviews":[184],"analyzed":[185],"theory-driven":[188],"content":[189],"analysis.":[190],"rounds":[193],"agree/disagree":[199],"questions":[200],"with":[201],"Likert":[203],"scale,":[204],"Round":[207],"1":[208],"results":[209],"were":[211],"reviewed":[212],"prioritized":[214],"by":[215],"group.":[218],"Results:":[219],"literature":[225],"found":[226,246,272],"there":[228],"general":[231],"lack":[232],"assessing":[236],"facilitators.":[239],"Using":[240],"synthesize,":[244],"we":[245],"significant":[248],"focus":[249,274],"domains":[252,277],"Behavioural":[254],"Regulation,":[255],"Environmental":[256],"Context":[257],"Resources":[259],"Beliefs":[261,284],"about":[262,285],"Consequences.":[263],"Dephi":[265],"confirmed":[267],"these":[268],"findings,":[269],"also":[271],"Skills,":[279],"Social":[280,287],"Professional":[282],"Role,":[283],"Capabilities,":[286],"Influences,":[288],"Knowledge":[289],"Optimism.":[291]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2019-07-23T00:00:00"}
