Sarina A Fazio1, Amy L Doroy2, Nicholas R Anderson3, Jason Y Adams4, Heather M Young5. 1. Division of Pulmonary, Critical Care, & Sleep Medicine, School of Medicine, University of California, Davis, USA; Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, USA; Medical ICU, UC Davis Medical Center, UC Davis Health, Sacramento, USA. Electronic address: safazio@ucdavis.edu. 2. Medical ICU, UC Davis Medical Center, UC Davis Health, Sacramento, USA. 3. Division of Health Informatics, School of Medicine, University of California, Davis, Sacramento, USA. 4. Division of Pulmonary, Critical Care, & Sleep Medicine, School of Medicine, University of California, Davis, USA; Medical ICU, UC Davis Medical Center, UC Davis Health, Sacramento, USA. 5. Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, USA.
Abstract
OBJECTIVE: To explore multi-clinician perspectives on intensive care early mobility, monitoring and to assess the perceived value of technology-generated mobility metrics to provide user feedback to inform research, practice improvement, and technology development. METHODS: We performed a qualitative descriptive study. Three focus groups were conducted with critical care clinicians, including nurses (n = 10), physical therapists (n = 8) and physicians (n = 8) at an academic medical centre that implemented an intensive care early mobility programme in 2012. Qualitative thematic analysis was used to code transcripts and identify overarching themes. FINDINGS: Along with reaffirming the value of performing early mobility interventions, four themes for improving mobility monitoring emerged, including the need for: 1) standardised indicators for documenting mobility; 2) inclusion of both quantitative and qualitative metrics to measure mobility 3) a balance between quantity and quality of data; and 4) trending mobility metrics over time. CONCLUSION: Intensive care mobility monitoring should be standardised and data generated should be high quality, capable of supporting trend analysis, and meaningful. By improving measurement and monitoring of mobility, future researchers can examine the arc of activity that patients in the intensive care unit undergo and develop models to understand factors that influence successful implementation.
OBJECTIVE: To explore multi-clinician perspectives on intensive care early mobility, monitoring and to assess the perceived value of technology-generated mobility metrics to provide user feedback to inform research, practice improvement, and technology development. METHODS: We performed a qualitative descriptive study. Three focus groups were conducted with critical care clinicians, including nurses (n = 10), physical therapists (n = 8) and physicians (n = 8) at an academic medical centre that implemented an intensive care early mobility programme in 2012. Qualitative thematic analysis was used to code transcripts and identify overarching themes. FINDINGS: Along with reaffirming the value of performing early mobility interventions, four themes for improving mobility monitoring emerged, including the need for: 1) standardised indicators for documenting mobility; 2) inclusion of both quantitative and qualitative metrics to measure mobility 3) a balance between quantity and quality of data; and 4) trending mobility metrics over time. CONCLUSION: Intensive care mobility monitoring should be standardised and data generated should be high quality, capable of supporting trend analysis, and meaningful. By improving measurement and monitoring of mobility, future researchers can examine the arc of activity that patients in the intensive care unit undergo and develop models to understand factors that influence successful implementation.
Authors: Caitlin M Cusack; George Hripcsak; Meryl Bloomrosen; S Trent Rosenbloom; Charlotte A Weaver; Adam Wright; David K Vawdrey; Jim Walker; Lena Mamykina Journal: J Am Med Inform Assoc Date: 2012-09-08 Impact factor: 4.497
Authors: Peter Nydahl; A Parker Ruhl; Gabriele Bartoszek; Rolf Dubb; Silke Filipovic; Hans-Jürgen Flohr; Arnold Kaltwasser; Hendrik Mende; Oliver Rothaug; Danny Schuchhardt; Norbert Schwabbauer; Dale M Needham Journal: Crit Care Med Date: 2014-05 Impact factor: 7.598
Authors: Elizabeth A Barber; Tori Everard; Anne E Holland; Claire Tipping; Scott J Bradley; Carol L Hodgson Journal: Aust Crit Care Date: 2014-12-19 Impact factor: 2.737
Authors: Sarah Elizabeth Jolley; Marc Moss; Dale M Needham; Ellen Caldwell; Peter E Morris; Russell R Miller; Nancy Ringwood; Megan Anders; Karen K Koo; Stephanie E Gundel; Selina M Parry; Catherine L Hough Journal: Crit Care Med Date: 2017-02 Impact factor: 7.598
Authors: Kristin E Schwab; An Q To; Jennifer Chang; Bonnie Ronish; Dale M Needham; Jennifer L Martin; Biren B Kamdar Journal: J Intensive Care Med Date: 2019-07-22 Impact factor: 2.889
Authors: Sarina Fazio; Amy Doroy; Natalie Da Marto; Sandra Taylor; Nicholas Anderson; Heather M Young; Jason Y Adams Journal: Crit Care Explor Date: 2020-04-29