title: Overcoming nursing barriers to intensive care unit early mobilisation: A quality improvement project.
abstract: OBJECTIVE
  To increase adherence with intensive care unit mobility by developing and implementing a mobility training program that addresses nursing barriers to early mobilisation.
  
  
  METHODS
  An intensive care unit mobility training program was developed, implemented and evaluated with a pre-test, immediate post-test and eight-week post-test. Patient mobility was tracked before and after training.
  
  
  METHODS
  A ten bed cardiac intensive care unit.
  
  
  METHODS
  The training program's efficacy was measured by comparing pre-test, immediate post-test and 8-week post-test scores. Patient mobilisation rates before and after training were compared. Protocol compliance was measured in the post training group.
  
  
  RESULTS
  Nursing knowledge increased from pre-test to immediate post-test (p<0.0001) and pre-test to 8-week post-test (p<0.0001). Mean test scores decreased by seven points from immediate post-test (80±12) to 8-week post-test (73±14). Fear significantly decreased from pre-test to immediate post-test (p=0.03), but not from pre-test to 8-week post-test (p=0.06) or immediate post-test to 8-week post-test (p=0.46). Post training patient mobility rates increased although not significantly (p=0.07). Post training protocol compliance was 78%.
  
  
  CONCLUSIONS
  The project successfully increased adherence with intensive care unit mobility and indicates that a training program could improve adoption of early mobility.
authors.affiliation: University of Pittsburgh School of Nursing, 3500 Victoria St., Pittsburgh, PA 15213, United States. Electronic address: ooh1@pitt.edu.
authors.forename: Oluwatobi O
authors.initials: OO
authors.lastname: Hunter
authors.affiliation: UPMC Presbyterian, 200 Lothrop St., Pittsburgh, PA 15213, United States. Electronic address: georgebl@upmc.edu.
authors.forename: Elisabeth L
authors.initials: EL
authors.lastname: George
authors.affiliation: University of Pittsburgh School of Nursing, 3500 Victoria St., Pittsburgh, PA 15213, United States. Electronic address: dir@pitt.edu.
authors.forename: Dianxu
authors.initials: D
authors.lastname: Ren
authors.affiliation: UPMC Presbyterian, 200 Lothrop St., Pittsburgh, PA 15213, United States. Electronic address: morgande@upmc.edu.
authors.forename: Douglas
authors.initials: D
authors.lastname: Morgan
authors.affiliation: University of Pittsburgh School of Nursing, 3500 Victoria St., Pittsburgh, PA 15213, United States. Electronic address: mros@pit.edu.
authors.forename: Margaret
authors.initials: M
authors.lastname: Rosenzweig
authors.affiliation: University of Pittsburgh School of Nursing, 3500 Victoria St., Pittsburgh, PA 15213, United States. Electronic address: ptuite@pitt.edu.
authors.forename: Patricia
authors.initials: P
authors.lastname: Klinefelter Tuite
mesh_terms: D000293:Adolescent; D000328:Adult; D004434:Early Ambulation / Q000451:nursing* / Q000523:psychology / Q000706:statistics & numerical data; D004509:Education, Nursing, Continuing / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration / Q000592:standards / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology* / Q000592:standards / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000379:methods; D058996:Quality Improvement
keywords: Acquired weakness; Barriers; Early mobilisation; Intensive care unit; Mobility