Pediatric Mobility: The Development of Standard Assessments and Interventions for Pediatric Patients for Safe Patient Handling and Mobility
Due to improvements in biomedical sciences and clinical expertise, childhood mortality has decreased. Pediatric patients experience similar complications from inactivity as adults, such as hospital-acquired conditions and delirium. Interdisciplinary collaboration is imperative to improve functional and developmental outcomes of children who suffers from either a chronic illnesses or an acute illness that results in a prolonged hospitalization. Pediatric nursing assessments should include gross motor function related to mobility. Activities to mobilize pediatric patients should be based on age and developmental assessment. ...
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
An Introduction to Pediatric Safe Patient Handling: The Case for a Safe Pediatric Mobility Protocol
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
“Add It to the Parking Lot”: Safe Patient Handling and Mobility in the Emergency Department
Nelson and Baptiste noted that a standard approach to safe patient handling and mobility (SPHM) cannot be generalized to all patient care areas because the unique, high-risk tasks of each area require specific intervention. Matching the SPHM program to the setting, tasks, and roles is important in developing a program that will prevent harm. However, there is little evidence related to the use of SPHM programs in nontraditional care environments, such as emergency departments (EDs). A such, there is no standardized method for training ED nurses in safe patient handling. An SPHM challenge unique to the ED is extricating pat...
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Moving the Bariatric Patient
The health care team must be able to mobilize bariatric patients efficiently and safely. It is challenging to find the proper equipment of sufficient variety to meet the need. Patients can feel self-conscious when staff are struggling to provide care, and staff can be injured when trying to mobilize patients without the proper equipment. This can result in feelings of humiliation for the patient and frustration for staff. Furthermore, staff often experience compassion fatigue when dealing with their frustration around this. This bariatric surgery unit experienced these issues with mobilization of larger patients and partic...
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Instituting a Standardized Mobility Aid in the Cardiovascular Intensive Care Unit
The complexity of ambulation increases when patients are challenged with acute illness in the cardiovascular intensive care unit (CVICU). The difficulties in this setting entailed limited ancillary assistance, proper equipment, and complex medical devices. It was imperative that mobility was made a priority in the CVICU despite multiple barriers. To improve mobility functionality, mobility aids were obtained. To evaluate the effectiveness of the mobility aids, data were collected, including staff surveys, time studies, and chart audits. The outcomes from implementing the mobility aids revealed a reduction in the number of ...
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
A Nurse-Led Mobility Program on an Acute Rehabilitation Unit
Rehabilitation assists patients with return to baseline activities of daily living after catastrophic events or long hospitalizations. In an effort to increase mobility episodes in the rehabilitation patient, a nurse-led mobility program was suggested. This allows the rehabilitation nurse to participate in the improvement of mobility for rehabilitation patients by mobilizing the patients safely during hours in which physical therapy is not available. The purpose of this project was twofold: (1) Can additional mobility episodes improve outcomes in the rehabilitation patient? (2) How can safe patient handling principles be a...
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Incorporating Safe Patient-Handling Techniques to Mobilize Our Most Complex Patients on Extra Corporeal Membrane Oxygenation
This article will discuss the specific considerations that should be employed to keep the patient and the staff safe while providing mobility to patients on extra corporeal membrane oxygenation. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Reducing Intensive Care Unit Staff Musculoskeletal Injuries With Implementation of a Safe Patient Handling and Mobility Program
The purpose of this safety initiative was to reduce work-related injuries through the implementation of a safe patient handling and mobility (SPHM) program in a medical intensive care unit. An SPHM program was implemented on a critical care medicine unit in February of 2017. Nursing and assistive personnel completed education via hands-on and online educational modules regarding SPHM equipment and techniques and an SPHM policy. All staff were expected to follow SPHM practices. Critical care medicine unit nursing leadership and unit-based SPHM peer coaches rounded to ensure staff compliance with the program. A 1-year evalua...
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Safe Patient Handling and Mobility: Development and Implementation of a Large-Scale Education Program
This article addresses the development, implementation, and evaluation of an education program for safe patient handling and mobility at a large academic medical center. The ultimate goal of the program was to increase safety during patient mobility/transfer and reduce nursing staff injury from lifting/pulling. This comprehensive program was designed on the basis of the principles of prework, application, and support at the point of care. A combination of online learning, demonstration, skill evaluation, and coaching at the point of care was used to achieve the goal. Specific roles and responsibilities were developed to fa...
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Integrating a Standardized Mobility Program and Safe Patient Handling
This article will discuss a how a tertiary care facility incorporated a safe patient-handling initiative into an existing mobility program and operationalized it across a health care system to keep our patients and staff safe. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Changing the Perceptions of a Culture of Safety for the Patient and the Caregiver: Integrating Improvement Initiatives to Create Sustainable Change
Evidence indicates that chances for a successful patient mobility program, prevention of pressure injury and falls, and safe patient handling are enhanced when an organization possesses an appropriate culture for safety. Frequently, these improvement initiatives are managed within silos often creating a solution for one and a problem for the others. A model of prevention integrating early patient mobility, preventing pressure injuries and falls while ensuring caregiver safety, is introduced. The journey begins by understanding why early mobility and safe patient handling are critical to improving overall patient outcomes. ...
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - June 1, 2018 Category: Nursing Tags: Foreword Source Type: research
The Stay S.A.F.E. Strategy for Managing Interruptions Reduces Distraction Time in the Simulated Clinical Setting
Interruptions occurring during the delivery of health care are frequent and create a serious threat to patient safety. It is important to test strategies directed at decreasing the negative effects of interruptions. The purpose of this pilot study was to test the Stay S.A.F.E. strategy for managing interruptions. A pretest, posttest quasi-experimental design was used to test the primary hypothesis that the Stay S.A.F.E. interruption management strategy would significantly (P (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
Perceptual Effects of Physical and Visual Accessibilities in Intensive Care Units: A Quasi-experimental Study
This article reports the findings of a 2-phase quasi-experimental study looking at the perceptual effects of physical and visual accessibilities on clinical staff in intensive care units (ICUs). In a previous CCNQ article by Rashid et al, the first phase of the study was reported comparing, among other things, physical and visual accessibilities and their associations with staff perception in 2 ICUs with the open-plan and racetrack-type layouts. The data for that phase of the study were collected in December 2014, which included the data on physical and visual accessibilities collected using the spatial analysis techniques...
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
Stress Reduction in Postcardiac Surgery Family Members: Implementation of a Postcardiac Surgery Tool Kit
The intensive care unit (ICU) can be a place of stress, anxiety, and emotional instability for both patients and families. Medical and nursing care during this acute time is patient focused, and family members are often left in the dark. Unintentional exclusion from information results in high levels of stress, anxiety, and uncertainty for families. Due to the acuity of illness, family members of cardiac surgery patients experience the highest levels of stress. Spouses may experience intense psychosomatic symptoms such as depression, anxiety, and fear for several months after the surgery. The purpose of this study was aime...
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
