title: Establishing an Inpatient Gym for Recipients of Stem Cell Transplantation: A Multidisciplinary Collaborative.
abstract: BACKGROUND
  Evidence suggests that exercise can have a profound impact on physiologic and quality-of-life outcomes for patients undergoing hematopoietic stem cell transplantation (HSCT). Despite this, implementation of a gym on inpatient HSCT units may be limited because of space, infrastructure, and budget.
  
  
  OBJECTIVE
  This article presents the design, implementation, and evaluation of the gym and highlights its use for individual and group patient activities.
  
  
  METHODS
  An interprofessional team at a National Cancer Institute-designated comprehensive cancer center collaborated to design and implement gym space on an inpatient HSCT unit servicing as many as 86 beds.
  
  
  RESULTS
  Informal feedback from patients, as well as metrics on use of the space, indicates that the gym is well received and frequently used. Limitations include the absence of a designated physical therapy technician to supervise individual activity, which may limit patient access when a staff member is unavailable. The cost associated with the implementation of such space may be offset by benefits to patients, including enhanced conditioning, quality of life, and time to discharge, as evidenced in the literature.
authors.affiliation: University of Texas MD Anderson Cancer Center.
authors.forename: Roxann
authors.initials: R
authors.lastname: Blackburn
authors.affiliation: University of Texas MD Anderson Cancer Center.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Presson
authors.affiliation: University of Texas MD Anderson Cancer Center.
authors.forename: Robin
authors.initials: R
authors.lastname: Laufman
authors.affiliation: University of Texas MD Anderson Cancer Center.
authors.forename: Nancy
authors.initials: N
authors.lastname: Tomczak
authors.affiliation: University of Texas MD Anderson Cancer Center.
authors.forename: Kelly J
authors.initials: KJ
authors.lastname: Brassil
mesh_terms: D003299:Cooperative Behavior; D015444:Exercise; D005160:Facility Design and Construction; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D007297:Inpatients
keywords: inpatient gym; nursing intervention; physical activity; physical and occupational therapy; stem cell transplantation