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Related Experiment Video

Updated: Dec 21, 2025

Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
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Early Mobilization in the ICU: A Collaborative, Integrated Approach.

Christopher A Linke1, Leah B Chapman1, Lindsey J Berger1

  • 1All authors: University of Minnesota Medical Center, Minneapolis, MN.

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|May 20, 2020
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Summary

Implementing an early mobility protocol in intensive care units (ICUs) significantly increased patient ambulation. This interdisciplinary approach enhanced patient mobility without requiring additional staff resources.

Keywords:
early ambulationearly mobilizationevidence-based practiceintensive careinterdisciplinary health teamnursing

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Area of Science:

  • Critical Care Medicine
  • Evidence-Based Practice
  • Interdisciplinary Healthcare

Background:

  • Patient immobility in intensive care units (ICUs) is associated with adverse outcomes.
  • Early mobilization is crucial for patient recovery and reducing complications.
  • Existing resources and interdisciplinary collaboration can be leveraged to improve patient mobility.

Purpose of the Study:

  • To develop and implement an early mobility protocol in three adult ICUs.
  • To enhance patient mobility using an interdisciplinary approach and existing resources.
  • To evaluate the impact of the protocol on patient ambulation and relevant outcomes.

Main Methods:

  • The Iowa Model of Evidence-Based Practice guided literature synthesis and intervention planning.
  • A retrospective pre- and post-intervention design was employed for data collection.
  • An inclusive early mobility protocol was developed and implemented across three adult ICUs, involving physicians, nurses, and therapy representatives.

Main Results:

  • A significant increase in the proportion of patients who ambulated while in the ICU was observed (24.6% vs 33.0%; p < 0.001).
  • Frequency of ambulation increased across all age groups, with the largest gains in patients over 65 years old.
  • While time to ambulation decreased in some ICUs, there were no significant changes in ICU length of stay, hospital length of stay, or ventilator days.

Conclusions:

  • An interdisciplinary early mobility protocol can successfully increase patient mobility in ICUs without additional staffing.
  • The project resulted in the creation of a mobility protocol toolkit for wider implementation within the health system.
  • Evidence-based practice and collaborative efforts are key to improving patient outcomes in critical care settings.