{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:55:48Z","timestamp":1785412548187,"version":"3.56.0"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intensive care unit\u2010acquired weakness (ICU\u2010AW) affects approximately 50% of critically ill patients, leading to prolonged recovery, increased healthcare costs and reduced quality of life. Early mobilisation is a promising intervention to mitigate ICU\u2010AW, but its effectiveness is often limited by inconsistent patient participation and a lack of patient\u2010centred approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore how varying levels of patient participation in early mobilisation are associated with ICU\u2010AW incidence, thereby informing personalised intervention strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A prospective cohort observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 152 patients were enrolled in the study between July and November 2023. After excluding 11 patients with incomplete data, 141 patients were included in the final analysis. An association was observed between levels of early mobilisation participation and muscle strength at ICU discharge (area under the curve\u2009=\u20090.788, cut\u2010off \u2265\u20093, 95% CI: 0.712\u20130.864,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Patients with higher participation (\u2265\u20093) demonstrated significantly stronger muscle strength and lower ICU\u2010AW incidence than those with lower participation (&lt;\u20093). Factors influencing participation included age, sex, surgical status and mechanical ventilation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patient participation is a critical determinant of recovery outcomes in early mobilisation interventions. Tailored, patient\u2010centred strategies are essential to optimise recovery and reduce ICU\u2010AW risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>This study underscores the importance of integrating patient\u2010centred approaches into ICU care, particularly highlighting the crucial role of critical care nurses in enhancing participation in early mobilisation. By fostering a supportive and personalised environment, nurses can significantly improve recovery outcomes, reduce ICU\u2010AW and lower healthcare costs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70158","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:31:53Z","timestamp":1756463513000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Patient\u2010Centred Approaches to Prevent\n                    <scp>ICU<\/scp>\n                    \u2010Acquired Weakness: Insights From Early Mobilisation Participation"],"prefix":"10.1111","volume":"30","author":[{"given":"Hui","family":"Zhang","sequence":"first","affiliation":[{"name":"School of Nursing, Chinese Academy of Medical Sciences &amp; Peking Union Medical College  Peking China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2354-5516","authenticated-orcid":false,"given":"Yu","family":"Sheng","sequence":"additional","affiliation":[{"name":"School of Nursing, Chinese Academy of Medical Sciences &amp; Peking Union Medical College  Peking China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Operating Theater Xuanwu Hospital Capital Medical University  Peking China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zunzhu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine Peking Union Medical College Hospital  Peking China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongbo","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine Peking Union Medical College Hospital  Peking China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9173-8281","authenticated-orcid":false,"given":"Qinglai","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing Administration Beijing Chao\u2010Yang Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances Fengzhi","family":"Lin","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences, Flinders University  Adelaide Australia"},{"name":"Caring Futures Institute, Flinders University  Adelaide Australia"},{"name":"School of Nursing and Midwifery, Griffith University  Gold Coast Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0885066620949178"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010020\u201005944\u20104"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201812\u2010913FR"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2018.07.006"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04741"},{"key":"e_1_2_15_7_1","unstructured":"J. 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