Table 3.

CERQual summary of qualitative findings.

				CERQual
Main theme	Subthemes	Summary	Studies	Confidence	Explanation
Physical activity is not a priority	The hospital is a place for rest	The hospital was often seen to facilitate a culture of bed rest through the physical environment, staff, and systems, with favouritism towards a risk-reductive approach to care delivery.	31,47–50,52,54,56,57,59,60,62–65,68–75,77,78,80,82–84	High confidence	Twenty-nine studies contribute to this finding. There were minor concerns about methodological limitations and coherence of those studies. There were no/very minor concerns about adequacy and relevance.
	There are not enough resources to make movement a priority	Health professionals felt that promotion of movement could be resource intensive in an already resource-limited (specifically lacking in time, personnel, or equipment), high workload setting. Subsequently, resources were allocated to other priority areas.	31,48–52,54–56,58–64,66,68,70–75,78–80,82–85	High confidence	Thirty-one studies contribute to this finding. There were minor concerns about methodological limitations and relevance, and no/very minor concerns about coherence and adequacy of data.
	Everyone's job is no one's job	Health professionals perceived there to be a shared responsibility, yet noted a lack of ownership, in supporting patient movement amongst the interdisciplinary team and the patient themselves. Reduced knowledge and skills amongst some team members was noted as a barrier to supporting movement.	31,48,50–53,55,56,59–72,74,75,80–85	Moderate confidence	Thirty studies contribute to this finding, with minor concerns with methodological limitations, coherence, adequacy, and relevance.
	Policy and leadership drives priorities	Health professionals practice, perspectives and prioritisation of movement support was influenced by policies and leaders. Falls prevention, manual handling and mobility-related policies prioritised safety over movement further contributing to a risk reductive approach	48,56,59–64,67–69,71–73,76,77	High confidence	Sixteen studies contribute to this finding. There were no/very minor concerns about methodological limitations, coherence, adequacy, and relevance.