Monday, November 2, 2009: 4:10 PM
Learning Objective 1: Describe the implementation process of a department-wide mobility guideline at a major academic medical center.
Learning Objective 2: Discuss the importance of working in collaboration when implementing a department-wide clinical nursing guideline.
The daily work of the critical care registered nurse requires a high-level of knowledge and understanding of complex information. In many cases, mobility has not been considered a part of the plan of care for critically ill patients. A review of the current literature demonstrates the link between increasing mobility in hospitalized patients and a decrease in hospital-acquired complications. Bailey, et al (2007) demonstrated that activity in critically ill patients is safe. Hopkins, et al (2007) transformed the culture of their ICU to make mobility a priority. Our hospital's department of critical care nursing gathered and led a multi-disciplinary team that developed and implemented a mobility guideline for patients in the intensive care and progressive care units at our hospital. This session discusses the journey of the multi-disciplinary team in their efforts to implement an evidence-based nursing guideline and to increase the number of patients who receive at least one mobility session per 24-hour period. Along the journey, the group learned the challenges of implementation of a new clinical practice guideline and the importance of collaboration in the development and implementation process.
Objectives:
Describe the implementation process of a department-wide mobility guideline at a major academic medical center.
Discuss the importance of working in collaboration when implementing a department-wide clinical nursing guideline.
References:
Hopkins, R. O., Spuhler, V. J. & Thomsen, G. E. (2007). Transforming ICU culture to facilitate early mobility. Critical Care Clinics of North America, 23, 81-96.
Bergin, T., (2005). The role of the critical care nurse in improving quality of life in ICU survivors. CACCN, 16, 22-29.
Bailey, P., Thomsen, G. E., Spuhler, V. J., Blair, R., Jewkes, J., Bezdjian, L., Veale, K., Rodriquez, L., & Hopkins, R. O. (2007). Early activity is feasible and safe in respiratory failure patients. Critical Care Medicine, 35, (1), 139-145.
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