Intensive & critical care nursing · 2019
Early mobilisation in intensive care during renal replacement therapy: A quality improvement project.
СтатьяНазвание и аннотация: Перевод в очереди
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Ragland Carolyn, Ochoa Lauren, Hartjes Tonja
Аннотация
OBJECTIVE: To improve mobility for patients undergoing renal replacement therapy within intensive care.
DESIGN: A quality improvement study utilising a step-wise mobility protocol within a before-and-after audit design.
SETTING: Twenty-four bed Trauma/Surgical intensive care unit within a level one trauma and academic centre.
MAIN OUTCOME: Improvement of compliance to the mobility plan following introduction of a step-wise mobility protocol.
RESULTS: A total of fifty-six renal replacement therapy patients were measured on a randomly selected day each week during the nine month before-and-after protocol audit period. Before introducing the protocol, compliance to mobility was 12.5%, compared to 62.5% after the protocol was introduced. There were no identified negative outcomes, such as catheter loss, filter loss or bleeding, associated with mobilising these patients following implementation of the protocol.
CONCLUSION: The use of a step-wise mobility protocol was effective and safe strategy to increase mobility in the renal replacement therapy patient population.
DESIGN: A quality improvement study utilising a step-wise mobility protocol within a before-and-after audit design.
SETTING: Twenty-four bed Trauma/Surgical intensive care unit within a level one trauma and academic centre.
MAIN OUTCOME: Improvement of compliance to the mobility plan following introduction of a step-wise mobility protocol.
RESULTS: A total of fifty-six renal replacement therapy patients were measured on a randomly selected day each week during the nine month before-and-after protocol audit period. Before introducing the protocol, compliance to mobility was 12.5%, compared to 62.5% after the protocol was introduced. There were no identified negative outcomes, such as catheter loss, filter loss or bleeding, associated with mobilising these patients following implementation of the protocol.
CONCLUSION: The use of a step-wise mobility protocol was effective and safe strategy to increase mobility in the renal replacement therapy patient population.