Early Mobilization of the Adult ICU Patient
Remind us where you worked as an RN in the ICU (briefly). Considering your recent nursing practice, think of an evidence-based problem you\’ve encountered or wanted to tackle. You might want to think of something less grand than CLABSI or CAUTI prevention, but something measurable and impactful. Write a well-formulated PICO question based on that clinical problem that you have experienced. Clearly identify the pieces of your question. Find one piece of recent literature that is a primary research study that supports your intervention(s) and supports the project idea. Attach the pdf. Early Mobilization of the Adult ICU Patient
I worked in the Cardiovascular thoracic ICU as an RN for 3 years. Our patient population varied from heart and lung transplantation’s to LVAD implantation. We also cared for many patients with cardiogenic and septic shock. We also dealt with a lot of mechanically ventilated patients.
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Introduction
I worked as an RN in the Cardiovascular thoracic ICU for 3 years. The patient population was diverse and varied from heart and lung transplantations to LVAD implantations. The unit population also included many patients with cardiogenic and septic shock. Additionally, there was a high number of patients under mechanical ventilation.
PICOT Question
In patients under mechanical ventilation in the Cardiovascular Thoracic ICU (P) does an early mobilization protocol, compared to no early mobilization protocol (C), reduce the incidence of delirium and reduce the length of stay in the ICU/mechanical ventilation (O), in a period of 3 months (T)?
Population (P): patients under mechanical ventilation in the Cardiovascular Thoracic ICU
Intervention (I): Early mobilization protocol
Comparison (C): No early mobilization protocol
Outcome (O): Reduce the incidence of ICU and reduce the length of stay in the ICU/mechanical ventilation Early Mobilization of the Adult ICU Patient
Time (T): 3 months
Delirium for patients in the ICU and tose under mechanical ventilation is a major problem. In many hospitals and ICU, the incidence of delirium is high and it is associated with increased morbidity and mortality. Delirium is also associated with prolonged length of stay in the ICU, mechanical ventilation, and in hospital, and also increased healthcare costs. The implementation of early mobilization protocols for the patients in the ICU, and under mechanical ventilation has been shown to reduce delirium and ICU/ventilator stay, with no risk or minimum patient harm (Corner et al., 2019). This PICOT question thus aims to investigate the impact of implementing an early mobilization protocol for mechanically ventilated patients in the ICU on the incidence of delirium and the length of stay in the ICU/mechanical ventilation.
Article
Corner EJ, Murray EJ, Brett SJ. (2019). Qualitative, grounded theory exploration of patients’ experience of early mobilization, rehabilitation, and recovery after critical illness. BMJ Open, 2019(9).
Link: https://bmjopen.bmj.com/content/9/2/e026348
Early Mobilization of the Adult ICU Patient