The safety and efficacy of mobility programs for the ventilated patient and the ability to improve outcomes related to immobility of the critically ill are well documented in the literature. Early mobility programs have been proven safe and effective in study. However, a lack of literature describing application of the therapy and integration at the bedside exists. This article describes the multidisciplinary change process and partnerships necessary to provide the innovation of early mobility to ventilated intensive care unit patients. Early mobility targets ventilated patients upon admission to ensure that interventions are performed that promote physical therapy at first possible moment. In order to accomplish this innovation, evidence-based practice was used to guide culture change in an intensive care unit and build partnerships among disciplines that worked to achieve the same goals independently.
Department of Nursing, Department of Nursing, Critical Care Medicine Unit (Mss Dammeyer and Christopher, and Mr Baldwin), Physical Therapy Department (Mr Packard), Pulmonary and Critical Care Medicine (Ms Christofferson and Dr Iwashyna), and Office of Clinical Affairs (Ms Strachan), University of Michigan; and Veteran's Administration Hospital (Ms Harrington), Ann Arbor, Michigan.
Correspondence: Jennifer A. Dammeyer, MSN, RN, ANP, CCRN, Critical Care Medicine Unit, University of Michigan, 1500 East Medical Center Dr, Ann Arbor, MI 48109 (firstname.lastname@example.org).
The authors acknowledge the nurses of the Critical Care Medicine Unit (CCMU) at University of Michigan for their flexibility with each initiative and doing the right thing, always. They also acknowledge the Physical Therapy Department for being open to partnering in a new way and taking this partnership forward in the hospital. The authors thank MaryAnn Adamczyk, Nurse Manager of CCMU, for supporting very “green” thinking ideas, and Dr Robert Hyzy, Medical Director of CCMU, for leadership and support of new innovations in the CCMU!
The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.