Running head: CALL FOR ABSTRACT 1

Call for Abstract

Angela Purgiel

Ferris State University

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Call for Abstract

PICOT Question
In adult ICU patients, how does early mobility compared with bed rest, affect length of stay and
hospital acquired complications during length of stay?

Population: Adult ICU patients (on a ventilator or not) excluding end of life patients and comfort
care patients.

Intervention: Early mobility- a series of planned movements, performed in a sequential manner,

beginning at a patient’s current mobility status with a goal of returning to their baseline.

Comparison: Bed rest with repositioning only.

Outcome: Reduction in hospital acquired complications (ie. Number of ventilator day and related
complications, decrease in sedation use, occurrence of delirium and ICU and hospital length of
stay).

Time: During Length of stay in the hospital.

References

Berney, S., Harrold, M., Webb, S., Seppelt, L., Patman, S., Thomas, P., & Denehy, L. (2013,
December 15). Intesive Care Unit Mobility Practice in Australia and New Zealand: a Point
Prevalance Study. Critical Care and Resuscitation, 260-265.

Morris, P., Goad, A., Thompson, C., Taylor, K., Harry, B., Passmore, L., ... Anderson, L. (2008,
August 2008). Early Intensive Care Unit Mobility Therapy in the Treatment of Acute
Respiratory Failure. Critical Care Medicine, 36, 84-89.

Morris, P., Griffin, L., Berry, M., Thompson, C., Hite, R., Winkelman, C., ... Ross, A. (2011,
May 2011). Receiving Early Mobility During an Intensive Care Unit Admission is a Predictor of
Improved Outcomes in Acute Respiratory Failure. American Journal of Medicine, 373-377.

Nydahl, P., Ruhl, A., Bartoszek, G., Dubb, R., Filipovic, S., Kaltwasser, A., & Mende, H. (2013,
December 17th 2013). Early Mobilization of Mechanically Ventilated Patients: A 1 Day Point-
Prevalence Study in Germany. Critical Care Medicine.

Schweickert, W. D., Pohlman, M. C., Pohlman, A. S., Nigos, C., Pawlik, A. J., Esbrook, C. L., ...
Miller, M. (2009, May 30th 2009). Early physical and occupational therapy in mechanically
ventilated, critically ill patients: a randomised controlled trial. The Lancet, 373, 1874-1882.

Thompsen, G. E., Snow, G. L., Rodriguez, L., Ramona, O., & Hopkins, O. (2008). Patients with
respiratory failure increase ambulation after transfer to an intensive care unit where early activity
is a priority. Critical Care Medicine, 36, 1119-1124.
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CALL FOR ABSTRACTS CRITERIA

 Submission of an abstract, topic of interest or proposal will be accepted for the purpose of
registration. Time schedule to be determined later after all the abstracts have been
received.
 Based on the approval for submission of abstract, deadline for submission of final paper
is no later than, July 4, 2014.
 Each presentation is to be approximately 30 minutes in length.
 Submission of paper and presentation is to be emailed to:
nursingconference@uofriverside.com

TOPICS

Abstracts of research papers in 150-200 words are invited from nursing faculty, administrators,
educators, professionals and Ph.D. scholars/Post Graduate students on contemporary issues in
Nursing befitting any of the conference tracks mentioned as under. Topics of interest for
submissions include, but are not limited to:

1. Nursing Practice

 INNOVATIONS IN PATIENT CARE

 NURSING PRACTICE MODEL REFORM
 ACUTE AND CRITICAL CARE
 CARE OF CHRONIC PATIENTS
 SYMPTOM MANAGEMENT
 TRANSITIONAL CARE
 COMMUNITY NURSING
 EVIDENCE-BASED PRACTICE
 ADVANCED NURSING PRACTICE
 NEW NURSING TECHNOLOGY
 CARE OF PATIENTS WITH DIFFERENT CULTURAL BACKGROUND

2. Nursing Education

 INNOVATIONS IN NURSING EDUCATION

 PROBLEM-BASED TEACHING AND LEARNING
 EVIDENCE-BASED TEACHING AND LEARNING
 STUDENTS CRITICAL THINKING AND CARING COMPETENCY TRAINING
 STUDENTS CLINICAL REASONING AND DECISION MAKING COMPETENCY
TRAINING
 USE OF NEW TECHNOLOGY IN NURSING EDUCATION
 GRADUATE NURSING EDUCATION REFORM
 FACULTY DEVELOPMENT
 INTERNATIONAL NURSING EDUCATION

3. Nursing Management
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 INNOVATIONS AND REFORMS IN NURSING MANAGEMENT

 HUMAN RESOURCE MANAGEMENT
 QUALITY AND SAFETY OF NURSING CARE
 NURSING OUTCOME STUDY
 CRISIS AND RISK MANAGEMENT
 USE OF IT IN NURSING MANAGEMENT
 PROFESSIONAL CAREER DEVELOPMENT OF CLINICAL NURSES
 HEALTH POLICY STUDY

4. Disaster Nursing

 HEATH CHALLENGES IN THE NEW CENTURY

 EDUCATION AND TRAINING
 COMMUNITY PREPAREDNESS
 DISASTER RESPONSE
 COMMUNITY RESILIENCE

Abstract

Early Mobilization of Intensive Care Patients Improves Outcomes

Purpose

Early mobility has been identified as being beneficial in decreasing length of stay and healthier
outcomes for patients mechanically ventilated in the Intensive care (ICU) setting. This is a
literature review of current research articles supporting the conclusion that early mobility
benefits the vented ICU patient.

Methodology

A literature review was completed using the PubMed search engine. The search words used were
early mobility in the ICU patient. Six research studies were reviewed and the results were
analyzed.

Results

According to the research studies early mobility decreased length of stay from 14.5 from 11.2. It
was also identified that delirium could be decreased from 4 days to 2 days. Most importantly it
was identified that early mobility slowed the decreasing of muscle mass from 30% down to only
15%.

Conclusion

Implementing an early mobility protocol decreases length of stay, delirium, and slows the
decreasing of muscle mass. This is significant to nursing because the current practice is to
mobilize the patient as little as possible. Research is showing that this is inconsistent with the
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current data and bedside nurses should be encouraged to mobilize patients in the early stages of
their ICU stay in order to ensure better outcomes.