Date of Conferral
2022
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Francisca Farrar
Abstract
Nurses play a significant role in mobility management, an essential element of care for critically ill adults. However, the current practice of mobility management comes from patient orders without the adoption of an evidence-based physiologic assessment guide to support safe patient mobility resulting in unreliable outcomes. Physiologic stability may change during mobility and unsafe patient mobilization can result in negative patient outcomes that increase patient recovery time. The purpose of this systematic review was to look at the current practice of physiologic assessment measures and then use the findings to influence safe patient mobility practices in intensive care units. The practice focused questions for this doctoral project focused on investigating how research and quality improvement studies on mobilization in critical care address physiologic stability in decisions to mobilize critically ill adults and if there is a consistent safe best practice. The Johns Hopkins Evidence-Based Practice model was used as a framework to guide this review. Transitions theory was used to link theory and practice. The sources of data were gathered from Medline, PubMed, CINAHL, Joanna Briggs Institute, Cochrane Database, and Google Scholar. This review included 37 studies and identified a gap between use of mobility readiness assessments and early mobility practice. Findings also showed addressing the gap between mobility readiness assessments and early mobility practice improved the safety, care, and outcomes of critically ill patients impacting positive social change and nursing practice.
Recommended Citation
Hardin-Wike, Brenda Kepley, "Systematic Review of Physiologic Assessment Measures for Mobility Readiness of Adult Patients in Critical Care" (2022). Walden Dissertations and Doctoral Studies. 12997.
https://scholarworks.waldenu.edu/dissertations/12997
