Table 2 Description of the barriers [40]

Professional role

1

Nurses downgrade mobilization/mobility to other tasks

Nurses do not perceive mobilization/mobility as part of the treatment and as part of their core tasks

2

Nurses and nursing assistants serve self-reliant patients

It is more convenient, and it is a habit

3

Physiotherapists do not believe that it is their responsibility or task to mobilize patients unless the patients need training

Therapists, nurses, nursing assistants, and physicians gave different meanings to the concept of mobilization/mobility and to the tasks and actions that can be considered mobilization/mobility

4

The physicians’ lack of involvement in the project

When physicians focused on mobilization/mobility and exercise it was usually in connection with discharge or transfer to other departments

5

Some physicians’ attitude toward the project and their responsibility to prescribe walk plans

Time pressure and the perception that mobilization/mobility is not part of their core tasks

6

Physicians are critical in their collaboration with physiotherapists, who they think are working in a parallel world

The physicians seem to think that the therapists take too little responsibility in mobilizing the patients

Organizational

7

Different professions have different rhythms of work, which affects whether the patients get out of their bed

Different rhythms of work and different types of interruptions that create break-ups in the temporality of work affected whether mobilization/mobility succeeded or not

8

Continuous management support and demand for continuation of both the intervention and implementation of the intervention

Some of the implementation champions experienced that they were constantly presented with new initiatives to be implemented. Therefore, focus from the managers was sometimes lacking, as many actions required management attention

Across health care sectors

9

Information exchange between the hospital and the municipality

Empirical experience shows that there are often problems with citizens’ electronic journals when they are transferred between the two health care sectors. The consequence is that the municipality is not notified if the citizens have received a walk plan in the hospital

Financial

10

Concern about lack of resources (time and staff) to implement the intervention

The implementation of the intervention demands the presence of more physical therapists in the Endocrinology Department, which can be a resource problem