The 4 th European Conference on Weaning & Rehabilitation in Critically ill Patients

Physiotherapist Mette Brøkner Hansen Mette.broekner.hansen@regionh.dk

Structured Daily Training and Early Mobilization in ICU – A Quality improvement project

Structured Daily Training and Early Mobilization

in ICU

A Quality improvement project

Physiotherapist Mette Brøkner Hansen Mette.broekner.hansen@regionh.dk

Structured Daily Training and Early Mobilization in ICU – A Quality improvement project

The Aim of the Questionnaire was to study the implementation of the

Guideline in ICU

Why did we do it? • Structured Early Daily Training and Mobilization • Multidisiciplinary Goal-setting for the patients

rehabilitation

Physiotherapist Mette Brøkner Hansen

Mette.broekner.hansen@regionh.dk

Structured Daily Training and Early Mobilization in ICU – A Quality improvement project

How did we do it? • Prepare a Guideline

Tools for Implementation

•  Study workshop

•  Teaching session •  Training session

Physiotherapist Mette Brøkner Hansen Mette.broekner.hansen@regionh.dk

)

Structured Daily Training and Early Mobilization in ICU – A Quality improvement project

The Guideline

• PT screens all patients in the morning

• Multidisiciplinary daily briefing

• The patient will be assessed and catogorized

Physiotherapist Mette Brøkner Hansen Mette.broekner.hansen@regionh.dk

Structured Daily Training and Early Mobilization in ICU – A Quality improvement project

• A visible multidisiciplinary plan for mobilization and training

• Visible for the patients and their relatives

Visibility

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The Questionnaire

•  151 respondents •  clinical phycisisan and nurses

• 18 closed questions with multiple choice • 2 weeks to reply, and reminder

Physiotherapist Mette Brøkner Hansen Mette.broekner.hansen@regionh.dk

Structured Daily Training and Early Mobilization in ICU – A Quality improvement project

”Do you know the Guideline?”

NaPhysiotherapist Mette Brøkner Hansen Mette.broekner.hansen@regionh.dk

vn (Sidehoved/fod)

Structured Daily Training and Early Mobilization in ICU – A Quality improvement project

Yes, but not read it 36% Yes, and have read it 56%

No 9%

”Is mobilization and training a everyday point at the ward round? ”

Physiotherapist Mette Brøkner Hansen Mette.broekner.hansen@regionh.dk

Structured Daily Training and Early Mobilization in ICU – A Quality improvement project

Yes, it’s always a point to the ward round 24%

No, only when it’s relevant for the treatment 51%

No, it depends who is involved in the ward round 20%

Don’t know 6%

Nurse

Staff Specialist

Training Specialist

Senior hospital Physician

”Have you seen a change in the patient's mobilization since Guideline was introduced?”

Physiotherapist Mette Brøkner Hansen Mette.broekner.hansen@regionh.dk

Structured Daily Training and Early Mobilization in ICU – A Quality improvement project

Yes, I see that the patient is mobilized more during the day 19%

I don’t see a change 14%

Yes, I see that the patient is more

mobilized in the weekend 15%

Perspectives

• Ensure that the training nurses and specialist are prepared for: •  The Guideline •  The practical approach to early

rehabilitation •  Have skills to do the early rehabilitation

•  Physiotherapist Mette Brøkner Hansen Mette.broekner.hansen@regionh.dk

Structured Daily Training and Early Mobilization in ICU – A Quality improvement project

Let us share knowledge

Let us share experience