TABLE 2.
Brief description of codes
| Code | Description | n (%, 95% CI) |
|---|---|---|
|
| ||
| Codes describing values of early rehabilitation | ||
| PROPONENT | Participants may describe a general appreciation of early PT/OT without going into specific reasons for why they feel that way. | 21 (24%, 16.6%–34.5%) |
| BENEFICIAL | Describes any of the benefits, where they either cite evidence or personal experience of good outcomes w/early rehab. | 9 (10.5%, 5.6%–18.7%) |
| FAMILY | Describes reasons families benefit, and reasons (nonmedical) that patients benefit when rehab is started in the ICU. | 8 (9.3%, 4.8%–17.3%) |
| EDUCATE | Providers agree in the value of PT/OT, but also go one step beyond agreeing to demonstrate a need to educate others on its value. | 3 (3.5%, 1.2%–9.8%) |
| Provider barriers | ||
| SKILLSET | Describes reasons that rehab is held because someone just does not know why and how to do it. | 4 (4.7%, 1.8%–11.4%) |
| UNWILLING | The facility may have abundant resources, and skilled staff, but if there is not willingness by the staff to perform PT/OT, it does not get done. | 3 (3.5%, 1.2%–9.8%) |
| BIASES | Institutional, cultural, national, and/or learned biases about TBI or rehab may inhibit effective early PT/OT. | 3 (3.5%, 1.2%–9.8%) |
| UNINVOLVED | Describing a general attitude that someone has about the role of therapists; that someone else should be in charge of organizing and making sure of follow-through. | 2.5 (2.9%, 1.2%–10.6%) |
| Patient barriers | ||
| STEPWISE APPROACH | Describes specific patient safety concerns. Used to describe very specific ICU scenarios that take place and prevent rehab. | 10.5 (12.2%, 7.3%–22.2%) |
| Organizational barriers | ||
| RESOURCES | Describes reasons that the rehab would be done otherwise, but not enough time/money/people who are willing to do it. | 12 (14%, 8.2%–22.8%) |
| SUGGESTIONS | Describes a suggestion that we can do to improve the use of rehab. Use for system level. | 8 (9.3%, 4.8%–17.3%) |
| INSURANCE | Providers may be limited in the care they provide to patients simply related to what insurance may pay. | 1 (1.2%, 0.2%–6.2%) |
| LEADERSHIP | An important aspect to the success of rehabilitation programs is a leadership structure that hires and compels physicians, nurses, and therapists to ensure patients’ rehab needs are met. | 1 (1.2%, 0.2%–6.2%) |
Abbreviations: CI, confidence interval; ICU, intensive care unit; OT, occupational therapist; PT, physical therapist.