Palavras-chave
Mobilização Precoce
Fisioterapia
Protocolos Clínicos
Segurança do Paciente
Como Citar
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Resumo
Objetivo: Analisar as evidências científicas contemporâneas acerca das barreiras clínicas, organizacionais e profissionais que limitam a implementação da mobilização precoce em adultos internados em Unidades de Terapia Intensiva. Métodos: Revisão integrativa desenvolvida conforme referencial de Whittemore e Knafl, com buscas nas bases PubMed, SciELO, LILACS, Scopus e Web of Science (2021-2026). Utilizou-se o modelo PICO para seleção e extração de dados de 09 artigos de alta relevância, focando em barreiras assistenciais e critérios de segurança. Resultados: Os achados demonstram um deslocamento do paradigma da intensidade máxima para a precocidade prudente. As principais barreiras identificadas incluem a instabilidade hemodinâmica e sedação profunda (clínicas), o medo da equipe quanto a eventos adversos (profissionais) e o déficit de pessoal aliado à escassez de tecnologias assistivas (organizacionais). A sistematização via bundle ABCDEF e o uso do Semáforo de Segurança surgem como estratégias cruciais para mitigar a inércia terapêutica e a fraqueza adquirida. Considerações finais: O estudo evidencia que o sucesso da mobilização precoce depende da superação de barreiras culturais e estruturais através da governança clínica. A principal limitação reside na heterogeneidade de protocolos entre os centros intensivos.
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