Benefits of Early Active Mobility in the Medical Intensive Care Unit: A Pilot Study

Azuh, Ogochukwu; Gammon, Harriet; Burmeister, Charlotte; Frega, Donald; Nerenz, David R.; DiGiovine, Bruno; Siddiqui, Aamir

doi:10.1016/j.amjmed.2016.03.032

Cited by 47 publications

(59 citation statements)

References 14 publications

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“…Using a prospective consecutive case series design, Azuh et al (2016) developed a 5-point mobility scale and created a mobility team that focused on skin-care prevention, and mobility. The team was comprised of nurses, rehabilitation specialists (PT/OT), and a patient mobility assistant.…”

Section: Resultsmentioning

confidence: 99%

Mobility Programs for the Hospitalized Older Adult: A Scoping Review

Smart

Dermody

Coronado

et al. 2018

Gerontology and Geriatric Medicine

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Objectives: This scoping review (a) describes programs to improve mobility in hospitalized adults and (b) determines the methods used to measure mobility. Method: The Joanna Briggs Institute Methodology for Scoping Reviews was used to conduct this review. Results: Our findings suggest that using a multidisciplinary approach may be the most effective way to promote mobility in hospitalized older adults. Most studies did not articulate how physical activity was measured, indicating that more research is needed. Discussion: The literature shows that implementation of protocols designed to improve the early and regular implementation of physical mobility activities improves the health outcomes of hospitalized older people. Costs associated with healthcare utilization are also reduced, including hospital length of stay. Mobility programs that quantified mobility through validated measurement tools or accelerometers are the most promising as they provide feedback that reinforces progress of the patient and the expected benefits of early mobility.

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Section: Resultsmentioning

confidence: 99%

Mobility Programs for the Hospitalized Older Adult: A Scoping Review

Smart

Dermody

Coronado

et al. 2018

Gerontology and Geriatric Medicine

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“…Walking is critical for maintaining functional ability during hospital stay. Promoting acute progressive mobility for patients who are 65 years and older has been shown to improve the following: patients' satisfaction scores; LOS; fall rates; admission to discharge functional status of hospitalized elderly and patients recovering from major surgery (Azuh et al, 2016;Castro, Turcinovic, Platz, Law, 2015;Padula, Hughes, Baumhover, 2009;Pashikanti & Von Ah, 2012;Phelan, Lin, Mitchell, Chaboyer, 2018).…”

Section: Rush Oak Park Hospitalmentioning

confidence: 99%

The use of national collaborative to promote advanced practice registered nurse-led high-value care initiatives

et al. 2020

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Background: High-value healthcare focuses on improving healthcare to produce cost effective care, however limited information on the role of advanced practice registered nurses (APRNs) exists. Purpose: This descriptive report describes APRN-led initiatives implemented as part of a national collaborative promoting the Choosing Wisely Ò campaign and high-value care measures. Method: An APRN national collaborative focuses on developing and implementing high-value care initiatives. Monthly calls, podcasts, and a file sharing platform are used to facilitate the work of the national collaborative. Findings: A total of 16 APRN teams from 14 states are participating and have implemented a number of initiatives to reduce unnecessary testing and treatments, promote appropriate antibiotic use, and promote optimal clinical practices such as mobility for hospitalized elderly patients, among others. Discussion: A national collaborative has proven to be a successful way to engage APRN teams to focus on targeting high-value care and promoting evidencebased practices in clinical care.

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“…Targeting physical and occupational therapists to the most impaired patients who take the longest to mobilize and having the nursing team focus on less impaired patients may be a strategy to match “the right provider to the right patient.” Consideration of other staff models is also important. A recent pilot of a “patient mobility assistant” position in a medical intensive care unit demonstrated that trained non‐licensed professionals can mobilize patients safely and effectively (Azuh et al, ). The use of family members (Wyskiel, Weeks, & Marsteller, ) and non‐traditional staff to assist with patient mobility could help too.…”

Section: Implications For Nursing Managementmentioning

confidence: 99%

“…Consideration of other staff models is also important. A recent pilot of a "patient mobility assistant" position in a medical intensive care unit demonstrated that trained non-licensed professionals can mobilize patients safely and effectively (Azuh et al, 2016). The use of family members (Wyskiel, Weeks, & Marsteller, 2015) and non-traditional staff to assist with patient mobility could help too.…”

Section: Impli C Ati On S For N Ur S Ing Manag Ementmentioning

confidence: 99%