• Frederick R Macapagal, Rizalina Bonuel, Holly Rodriguez, and Emma Mcclellan.
• Frederick R. Macapagal is a registered nurse 3 in the cardiac intensive care unit, DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas.
• Crit Care Nurse. 2021 Aug 1; 41 (4): e19-e27.

BackgroundPatients who have an intra-aortic balloon pump or a pulmonary artery catheter with vasoactive infusion while awaiting heart transplant have reduced mobility due to heart failure and activity restrictions. Stroke volume, respiratory capacity, and muscle strength decrease, and sleep disturbances occur. Patients require motivation to enhance ambulation.ObjectiveTo explore patients' experiences with a fitness tracker to promote ambulation before heart transplant.MethodsIn 2017, a fitness tracker was issued to 43 patients before heart transplant who met the study criteria, which included orders to ambulate. Semistructured interviews were conducted after 2 weeks of fitness tracker use with 8 random participants, who were followed up to enhance the credibility of and validate the findings. Responses were interpreted by using descriptive phenomenology and purposive sampling. An expert in phenomenology examined the transcript interpretations and attested that the findings were supported by the data and were internally coherent. The Colaizzi method was used to analyze data.ResultsA total of 361 significant statements were identified during the participants' interviews and yielded 224 formulated meanings and 16 themes. Themes were categorized into 4 clusters: happy/delighted, motivator, beneficial, and future potential.ConclusionsParticipants were happy to get a fitness tracker and motivated to be active and increase activity/ambulation. Patients expressed benefits from walks: better sleep, more stamina, and feeling stronger. They believed that this intervention could have potential benefit for future patients.©2021 American Association of Critical-Care Nurses.

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