{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:44:47Z","timestamp":1776681887067,"version":"3.51.2"},"reference-count":49,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"unspecified","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Monika Fagevik Ols\u00e9n","award":["Swedish County Council [ALFGBG-718811]"],"award-info":[{"award-number":["Swedish County Council [ALFGBG-718811]"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,3,25]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To clarify and define the clinical practice concept of early mobilisation after abdominal surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A concept analysis guided by Walker and Avant\u2019s method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>MEDLINE (Ovid), AMED-(Ovid), Embase (Elsevier) and CINAHL (EBSCO) were searched through 5 December 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>Relevant studies that included combinations of the terms \u2018early mobilisation\u2019, \u2018early ambulation\u2019, \u2018early acceleration\u2019, \u2018abdominal surgery\u2019 and \u2018surgical procedures\u2019 were selected. We restricted the search to English full-text publications involving adult patients, limited to the year 2000 and onward. Inclusion criteria were original research articles describing the timing and\/or type of mobilisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data extraction and synthesis<\/jats:title>\n                    <jats:p>The study derives its defining attributes, antecedents and consequences through data analysis. To enhance understanding of the model, we constructed related and contrary cases of the concept and outlined relevant empirical referents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 140 studies were included in the analysis. Early mobilisation is characterised by the key defining attributes of initiating active physical movement, including standing, sitting in a chair or walking, within the first 24 hours of surgery. Antecedents include haemodynamic and respiratory stability, adequate pain management, and the patient\u2019s cognitive and physical readiness. Contextual antecedents include competent and adequately staffed healthcare teams. Consequences include improved physiological recovery and enhanced postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This analysis provides a clarified, practice-focused definition of early mobilisation after abdominal surgery. By delineating its key attributes and contextual prerequisites, the study offers a conceptual foundation that can support clinical guidelines, promote consistent implementation and inform future research aimed at optimising postoperative recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-107830","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T09:45:01Z","timestamp":1776678301000},"page":"e107830","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Early mobilisation after abdominal surgery: a concept analysis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3603-1912","authenticated-orcid":false,"given":"Anna","family":"Schandl","sequence":"first","affiliation":[{"name":"Department of Perioperative and Intensive Care, S\u00f6dersjukhuset, Stockholm, Sweden"},{"name":"Department of Clinical Sciences and Education, Karolinska Institutet, S\u00f6dersjukhuset, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8091-3031","authenticated-orcid":false,"given":"Katinka","family":"Siesage","sequence":"additional","affiliation":[{"name":"Department of Perioperative and Intensive Care, S\u00f6dersjukhuset, Stockholm, Sweden"},{"name":"Department of Clinical Sciences and Education, Karolinska Institutet, S\u00f6dersjukhuset, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna-Karin","family":"Kroksmark","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Physiology\/Health and Rehabilitation, University of Gothenburg, Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Gruber-De Sousa","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Physiology\/Health and Rehabilitation, University of Gothenburg, Gothenburg, Sweden"},{"name":"Department of Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna","family":"Lilliecrona","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy and Physical Therapy, University of Gothenburg, Gothenburg, Sweden"},{"name":"Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika Fagevik","family":"Ols\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Physiology\/Health and Rehabilitation, University of Gothenburg, Gothenburg, Sweden"},{"name":"Department of Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"2026041707251844000_16.4.e107830.1","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.rppneu.2013.07.005","article-title":"Implementation of a guideline for physical therapy in the postoperative period of upper abdominal surgery reduces the incidence of atelectasis and length of hospital stay","volume":"20","author":"Souza Possa","year":"2014","journal-title":"Rev Port Pneumol"},{"key":"2026041707251844000_16.4.e107830.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2015.11.029"},{"key":"2026041707251844000_16.4.e107830.3","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4841"},{"key":"2026041707251844000_16.4.e107830.4","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200007000-00008"},{"key":"2026041707251844000_16.4.e107830.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2012.08.013"},{"key":"2026041707251844000_16.4.e107830.6","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.008722"},{"key":"2026041707251844000_16.4.e107830.7","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1111\/j.1749-6632.1959.tb40827.x","article-title":"Early ambulation: its influence on postoperative complications and return to work following hernioplasty in a rural population","volume":"73","author":"Powers","year":"1958","journal-title":"Ann N Y Acad Sci"},{"key":"2026041707251844000_16.4.e107830.8","unstructured":"Dean E . 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