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Related Experiment Video

Updated: Sep 7, 2025

Author Spotlight: Repetitive Transcranial Magnetic Stimulation Combined with Movement Observation in Cerebral Palsy

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Improving Mobility Practices of Critically Ill Children.

Erin Mahoney, Gina M Rohlik, Ellen S Butterfass

Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners

|June 17, 2022

Summary

This quality improvement project enhanced mobility practices in a pediatric intensive care unit by implementing new guidelines and therapy referrals. Nurses reported increased confidence in patient mobilization.

Keywords:

Intensive care mobility pediatric physical therapy quality improvement

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Area of Science:

Pediatric Intensive Care
Quality Improvement Science
Healthcare Management

Background:

Pediatric intensive care units (PICUs) often face challenges in maintaining patient mobility.
Limited mobility can negatively impact patient outcomes and recovery times.

Purpose of the Study:

To implement and evaluate a quality improvement project aimed at enhancing mobility practices within a PICU.
To assess the impact of structured interventions on patient mobility frequency, therapy referrals, and nursing confidence.

Main Methods:

Implemented a staff-developed mobility progression guideline with visual aids.
Mandated physical therapy (PT) and occupational therapy (OT) referrals for eligible patients.
Utilized activity goal posters to track progress.

Main Results:

Increased median daily mobility activities per patient encounter from 1.5 to 4.0.
Observed a 43% increase in PT referrals and a 61% increase in OT referrals.
Reported a 69% improvement in nurses' confidence in mobilizing patients.

Conclusions:

An interprofessional quality improvement project successfully enhanced mobility practices in a PICU.
The implemented interventions led to significant improvements in patient mobility and nursing confidence.