{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:00:34Z","timestamp":1790060434129,"version":"4.0.1"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early mobilization (EM) in Intensive Care Units (ICUs) is a well\u2010established strategy to mitigate complications of immobility, including ICU\u2010acquired weakness, delirium and prolonged hospitalization. Despite strong clinical evidence and guideline recommendations supporting its safety and efficacy\u2014even for mechanically ventilated patients\u2014EM remains underutilized globally. Nurses, as frontline caregivers, play a pivotal role in EM implementation; however, gaps in their knowledge, attitudes and practices, along with perceived barriers, hinder its routine application, particularly in resource\u2010limited settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to assess ICU nurses' knowledge, attitudes, self\u2010perceived practices and perceived barriers regarding EM in southeastern Iran.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A descriptive\u2010correlational study was conducted in southeastern Iran. Nurses from eight units across three university\u2010affiliated hospitals participated, using a census sampling method. Data were collected via a validated Persian\u2010translated questionnaire comprising five sections: demographics, EM knowledge (21 items), attitude (11 items), practice (12 items) and perceived barriers (12 items). Descriptive statistics, Pearson correlation and multiple linear regression analyses were performed using SPSS v22.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 128 nurses demonstrated moderate knowledge (mean = 10.89\/21) and high positive attitudes (mean = 42.32\/55) and moderate self\u2010perceived EM practices (mean\u2009=\u200940.99\/60). Key knowledge gaps involved mobilizing mechanically ventilated patients and recognizing contraindications. The strongest barriers were patient\u2010related: medical instability and over\u2010sedation. Higher knowledge correlated significantly with more positive attitudes and better practices (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Master's\u2010level education predicted better attitudes, while nursing background and personal EM study predicted improved practice.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Based on self\u2010reported data, this study suggests a potential disconnect between favourable attitudes and self\u2010perceived EM practices among Iranian ICU nurses, potentially due to knowledge gaps\u2014especially in complex cases\u2014and patient\u2010centred barriers. It highlights the potential need for targeted educational interventions and standardized protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Findings support integrating structured EM training into nursing curricula and continuing education, developing interdisciplinary protocols and addressing sedation and stability concerns to enhance EM uptake and improve ICU patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70612","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T06:21:13Z","timestamp":1786083673000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurses' Knowledge, Attitudes, Practices and Perceived Barriers to Early Mobilization of Patients in Intensive Care Units in Southeastern Iran"],"prefix":"10.1111","volume":"31","author":[{"given":"Mohadeseh Baniasadi","family":"Zare","sequence":"first","affiliation":[{"name":"Student Research Committee, Razi Faculty of Nursing and Midwifery Kerman University of Medical Sciences  Kerman Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7470-8834","authenticated-orcid":false,"given":"Alireza","family":"Alizadeh","sequence":"additional","affiliation":[{"name":"Nursing Research Center Kerman University of Medical Sciences  Kerman Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Heidarinejad","sequence":"additional","affiliation":[{"name":"Afzalipour Hospital Kerman University of Medical Sciences  Kerman Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faezeh","family":"Heravi","sequence":"additional","affiliation":[{"name":"Clinical Research Development Unit, Shahid Bahonar Hospital Kerman University of Medical Sciences  Kerman Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3381-2529","authenticated-orcid":false,"given":"Farideh","family":"Razban","sequence":"additional","affiliation":[{"name":"Nursing Research Center Kerman University of Medical Sciences  Kerman Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Fundamentals of Critical Care: A Textbook for Nursing and Healthcare Students","author":"Peate I.","year":"2022"},{"key":"e_1_2_12_3_1","volume-title":"Critical Care Nursing","author":"Aitken 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