Journal of critical care
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Journal of critical care · Dec 2015
Time for critically ill patients to regain mobility after early mobilization in the intensive care unit and transition to a general inpatient floor.
The purpose of this study is to determine if patient mobility achievements in an intensive care unit (ICU) setting are sustained during subsequent phases of hospitalization, specifically after transferring to inpatient floors and on the day of hospital discharge. ⋯ Mobility progression through the hospital course is imperative to improving patient outcomes. Study findings show the need for improvement in maintaining early ICU mobilization achievement during the crucial phase between ICU stay and hospital discharge.
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Journal of critical care · Dec 2015
Observational StudyA quality improvement project to decrease emergency department and medical intensive care unit transfer times.
To reduce transfer time of critically ill patients from the emergency department (ED) to the medical intensive care unit (MICU). ⋯ A team made up of frontline health care professionals using a structured quality improvement process and implementing multifaceted, multistage interventions, reduced transfer delays, and length of stay. Added benefits included engagement among members of the 2 microsystems and a more cohesive approach to patient care.
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Journal of critical care · Dec 2015
Mobilization of ventilated patients in the intensive care unit: An elicitation study using the theory of planned behavior.
Early mobilization in intensive care unit (ICU) is safe, feasible, and beneficial. However, mobilization frequently does not occur in practice. The study objective was to elicit attitudinal, normative, and control beliefs (barriers and enablers) toward the mobilization of ventilated patients, to inform development of targeted implementation interventions. ⋯ Intensive care unit staff expressed positive and negative attitudinal, normative, and control beliefs across the spectrum, and disadvantages were most frequently reported. Identified beliefs can be used to inform development of future interventions.