Article A2492

Patient, Practice, and Organizational Factors Associated with Early Mobility Performance in Critically Ill Adults

Author(s): Anna E. Krupp, PhD, MSHP, RN, CCRN, Alai Tan, PhD, Eduard E. Vasilevskis, MD, MPH, Lorraine C. Mion, PhD, RN, Brenda T. Pun, DNP, RN, Audrey Brockman, BSN, Breanna Hetland, PhD, RN, CCRN, E. Wesley Ely, MD, MPH, and Michele C. Balas, PhD, RN, CCRN

Contact Hours 1.00

CERP A 1.00

Expires Sep 01, 2027

Topics: Evidence-Based Practice, MultiSystem

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Early mobility interventions provide benefit to intensive care unit (ICU) patients by improving physical function and decreasing the duration of delirium, mechanical ventilation, and ICU and hospital stays. Current clinical practice guidelines suggest performing rehabilitation or mobilization in critically ill adults. The use of early mobility and exercise interventions is included in the Society of Critical Care Medicine (SCCM) ICU Liberation Bundle, also known as the pain assessment, spontaneous awakening and breathing trials, analgesia/sedation, delirium assessment, early mobility/exercise, and family engagement (ABCDEF) bundle. Adoption of early mobility interventions into intensive care unit (ICU) practice has been slow and varied. This study examines factors associated with early mobility performance in critically ill adults and evaluate factors’ effects on predicting next-day early mobility performance

Objectives

  • Describe benefits of mobility interventions and barriers that may affect delivery of early mobility interventions.
  • Identify potentially modifiable factors associated with performance of early mobility interventions.
  • Identify factors routinely documented in the electronic health record that predict next-day early mobility performance.

Continuing Education Disclosure Statement

Successful Completion

Learners must complete the entire activity and the associated evaluation to be awarded contact hours AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

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Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity. Activities with pharmacology hours are to assist the APRN in fulfilling the pharmacotherapeutic education requirements for licensure and certification renewals.

Activities meet the standards for most states that require mandatory continuing education for license and/or certification renewal. AACN recommends consulting with your own state board of nursing or credentialing organization before submitting your certificate of completion.

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