Health Care Research Analysis and Utilization

This article discusses the importance of patient mobility in critical care units and the success of team effort and strategic intervention. Two research articles are reviewed and summarized.

Running head: HEALTH CARE RESEARCH
HEALTH CARE RESEARCH ANALYSIS AND UTILIZATION
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1HEALTH CARE RESEARCH
Introduction
The development of new technologies for the patients of critical care unit has increased
the ability of the patients to survive such conditions (Nydahl et al., 2014). However, patient
mobility is still a concern as in mechanical ventilation, patients are surrounded with tubes,
catheters and several monitoring equipment. As the patient in intensive care unit is unable to
move themselves, nursing professions focus on implementing different plan of care. These
activity protocols are important on determining therapeutic benefits (Adler & Malone, 2012).
The primary aim of these protocols to provide a guideline, so that following the clinicians can
take necessary step to determine improvement in the patient’s health condition. In this
assignment patient mobility related two papers will be reviewed and summarized.
Article 1
In this research article, the primary aim of the researchers Perme and Chandrashekar
(2009) were to determine the concerns of staffs present in surgical intensive care unit while
caring for patients who are unable to mobilize themselves. To determine this, the researchers
used “Plan-do-study-act model starting from without intervention to 6 months and 1 year after
implementation of intervention and focused on steps like planning implementation and
evaluation process. To determine the mindset related change, prior to application of intervention,
staffs were asked to fill a questionnaire and therefore by conducting the survey, 2 weeks prior, 6
months later and 1 year later, the mindset related changes in staffs were observed. After
determining the median score, the score demonstrated that maximum staff were able to
understand the mobility related issues in patients and therefore the agreed that with minimal
support of healthcare personnel the patients are able to move out of their bed and with this

2HEALTH CARE RESEARCH
activity, the length of their stay decreases. Therefore, this research was able to determine that
interdisciplinary team of SICU was able to care for patients with mechanical ventilation without
any bias (Perme & Chandrashekar, 2009).
Article 2
Another research was conducted by Castro et al. (2015) to determine the effect of long
bed rests or prevention from mobility on their health status. The researchers divided the program
in four phases and thereby different informations were provided to the healthcare staffs such as
patient education, positioning, duration and frequency of the mobility, and type of mobility
exercise depending on the type of patients. The primary goal of this program was to let the
patient sit on the edge of the bed, without any support and further proving them a walker to
increase their mobility. Therefore throughout the four phases the healthcare professionals were
screened while conducting their challenging care for the patients with mobility concerns in ICU
and these programs were helpful in increasing the focus of healthcare personnel in caring for
patients and also decreased the loss of functional abilities. Further, using the four stages
intervention, an outline of standard program was developed and therefore it increases the chance
of creating the standard for dealing with patients with minimal mobility (Castro et al., 2015).
Conclusion
An early mobility program is useful in determining patient safety and therefore, a team
approach should be developed by using a strategic plan so that implementation of intervention
can be improving for the patient. These two articles discussed in this section determines the
success of team effort and strategic intervention.

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References
Adler, J. and Malone, D., 2012. Early mobilization in the intensive care unit: a systematic
review. Cardiopulmonary physical therapy journal, 23(1), p.5.
Castro, E., Turcinovic, M., Platz, J. and Law, I., 2015. Early mobilization: changing the
mindset. Critical care nurse, 35(4), pp.e1-e6.
Nydahl, P., Ruhl, A.P., Bartoszek, G., Dubb, R., Filipovic, S., Flohr, H.J., Kaltwasser, A.,
Mende, H., Rothaug, O., Schuchhardt, D. and Schwabbauer, N., 2014. Early mobilization of
mechanically ventilated patients: a 1-day point-prevalence study in Germany. Critical care
medicine, 42(5), pp.1178-1186.
Perme, C. and Chandrashekar, R., 2009. Early mobility and walking program for patients in
intensive care units: creating a standard of care. American Journal of Critical Care,
p.ajcc2009355.