Oluwatobi O Hunter1, Elisabeth L George2, Dianxu Ren3, Douglas Morgan4, Margaret Rosenzweig5, Patricia Klinefelter Tuite6. 1. University of Pittsburgh School of Nursing, 3500 Victoria St., Pittsburgh, PA 15213, United States. Electronic address: ooh1@pitt.edu. 2. UPMC Presbyterian, 200 Lothrop St., Pittsburgh, PA 15213, United States. Electronic address: georgebl@upmc.edu. 3. University of Pittsburgh School of Nursing, 3500 Victoria St., Pittsburgh, PA 15213, United States. Electronic address: dir@pitt.edu. 4. UPMC Presbyterian, 200 Lothrop St., Pittsburgh, PA 15213, United States. Electronic address: morgande@upmc.edu. 5. University of Pittsburgh School of Nursing, 3500 Victoria St., Pittsburgh, PA 15213, United States. Electronic address: mros@pit.edu. 6. University of Pittsburgh School of Nursing, 3500 Victoria St., Pittsburgh, PA 15213, United States. Electronic address: ptuite@pitt.edu.
Abstract
OBJECTIVES: To increase adherence with intensive care unit mobility by developing and implementing a mobility training program that addresses nursing barriers to early mobilisation. DESIGN: An intensive care unit mobility training program was developed, implemented and evaluated with a pre-test, immediate post-test and eight-week post-test. Patient mobility was tracked before and after training. SETTING: A ten bed cardiac intensive care unit. MAIN OUTCOME MEASURES: The training program's efficacy was measured by comparing pre-test, immediate post-test and 8-week post-test scores. Patient mobilisation rates before and after training were compared. Protocol compliance was measured in the post training group. RESULTS: Nursing knowledge increased from pre-test to immediate post-test (p<0.0001) and pre-test to 8-week post-test (p<0.0001). Mean test scores decreased by seven points from immediate post-test (80±12) to 8-week post-test (73±14). Fear significantly decreased from pre-test to immediate post-test (p=0.03), but not from pre-test to 8-week post-test (p=0.06) or immediate post-test to 8-week post-test (p=0.46). Post training patient mobility rates increased although not significantly (p=0.07). Post training protocol compliance was 78%. CONCLUSION: The project successfully increased adherence with intensive care unit mobility and indicates that a training program could improve adoption of early mobility.
OBJECTIVES: To increase adherence with intensive care unit mobility by developing and implementing a mobility training program that addresses nursing barriers to early mobilisation. DESIGN: An intensive care unit mobility training program was developed, implemented and evaluated with a pre-test, immediate post-test and eight-week post-test. Patient mobility was tracked before and after training. SETTING: A ten bed cardiac intensive care unit. MAIN OUTCOME MEASURES: The training program's efficacy was measured by comparing pre-test, immediate post-test and 8-week post-test scores. Patient mobilisation rates before and after training were compared. Protocol compliance was measured in the post training group. RESULTS: Nursing knowledge increased from pre-test to immediate post-test (p<0.0001) and pre-test to 8-week post-test (p<0.0001). Mean test scores decreased by seven points from immediate post-test (80±12) to 8-week post-test (73±14). Fear significantly decreased from pre-test to immediate post-test (p=0.03), but not from pre-test to 8-week post-test (p=0.06) or immediate post-test to 8-week post-test (p=0.46). Post training patient mobility rates increased although not significantly (p=0.07). Post training protocol compliance was 78%. CONCLUSION: The project successfully increased adherence with intensive care unit mobility and indicates that a training program could improve adoption of early mobility.
Authors: Stefanie G Ames; Lauren J Alessi; Maddie Chrisman; Meg Stanger; Devin Corboy; Amit Sinha; Ericka L Fink Journal: Pediatr Qual Saf Date: 2021-05-19