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Area of Science:

  • Cardiovascular Intensive Care Unit (CVICU) Nursing
  • Patient Mobility and Rehabilitation

Background:

  • Ambulation in the CVICU is challenging due to limited assistance, equipment, and complex medical devices.
  • Prioritizing patient mobility is crucial despite these environmental barriers.

Purpose of the Study:

  • To evaluate the effectiveness of standardized mobility aids in improving patient ambulation within the CVICU.
  • To assess the impact of mobility aids on staff requirements, preparation time, and ambulation session frequency.

Main Methods:

  • Implementation of standardized mobility aids.
  • Data collection through staff surveys, time studies, and chart audits.
  • Analysis of ambulation metrics for medically complex and noncomplex patients.

Main Results:

  • Reduced staff needed for complex patient ambulation (2.3 to 1.9).
  • Decreased preparation time for both noncomplex (12.8 to 8.3 min) and complex (14 to 9.7 min) patients.
  • Increased ambulation sessions for noncomplex patients (1.5 to 2.8), but decreased for complex patients (1.2 to 0.5).

Conclusions:

  • Standardized mobility aids significantly improve preparation time for CVICU patient ambulation.
  • Mobility aids demonstrate clinically significant improvements in ambulation metrics, supporting their use in complex care settings.