• Am. J. Crit. Care · Sep 2019

    Observational Study

    Exercise Physiologists: Key to Providing Early Mobilization in the Intensive Care Unit.

    • Claudia DiSabatino Smith, Petra Grami, Cheryl Haseeb, and Yao Ababio.
    • Claudia DiSabatino Smith is a nursing instructor, University of Texas Health Science Center at Houston, Cizik School of Nursing; during the study, she was the nurse scientist at Baylor St Luke's Medical Center, Houston, Texas. Petra Grami is director of Specialty Services (intensive care unit, emergency center, dialysis and observation), M. D. Anderson Cancer Center, Houston, Texas; during the study, she was nurse manager of a medical-surgical intensive care unit at Baylor St Luke's Medical Center. Cheryl Haseeb is a staff registered nurse, Baylor St Luke's Medical Center. Yao Ababio is a senior performance excellence consultant, Quality and Patient Safety, Baylor St Luke's Medical Center. crdsmith.cs@gmail.com.
    • Am. J. Crit. Care. 2019 Sep 1; 28 (5): 385-392.

    BackgroundPatient immobility and a lack of physical activity in the intensive care unit results in a myriad of negative patient and hospital outcomes.ObjectiveTo report research findings related to the use of exercise physiologists in promoting and providing aggressive and progressive early mobilization within the intensive care unit.MethodsThis observational cohort study used the researcher-generated 12-point Activity Mobilization Evaluation Scale and delirium prevention bundle in 3 medical-surgical intensive care units to track patients' progress with mobilization.ResultsOn average, most of the 216 patients in the study population realized a 1.6-point change (P < .001) in activity level with intervention by an exercise physiologist. Almost all of the study population (97%) maintained or increased the level of activity after receiving a minimum of 1 session with an exercise physiologist (mean, 3.5 sessions per day) during the 3-month study period.ConclusionThe introduction of exercise physiologists in the intensive care units proved to be a novel, safe, and effective strategy that maintained or increased the activity level of 97% of study patients.©2019 American Association of Critical-Care Nurses.

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