Table 3.
Overview of concepts and themes for improving ICU early mobility monitoring based on current ICU practice and potential technology adoption
Concept | Theme | Description | Exemplar Quote |
---|---|---|---|
Perspectives towards ICU early mobility | Value | Benefits to patient, family and staff as a result of mobility interventions | “It seems also to help the overall well-being of your patients who realize that they’re not just sitting in the bed all the time or lying in the bed being turned. They are doing something physical so it’s further motivating for them. And I think that’s gratification for us, too, because you’re doing something and you see that it’s working.” [Nurse] |
Improving current measurement and monitoring practices | Standardization | Need for standardized recording and monitoring of mobility | “There are so many different places to find information. There are all the different snapshots, all the different flowsheets. If you don’t type in the exact name of the flowsheet you can’t find it. Maybe the information is there somewhere, but I don’t feel like it’s readily available where you can look in the chart and understand, “Oh, they did this activity, today.” [Physician] |
Multiple Metrics | Inclusion of both quantitative and qualitative metrics to quantify mobility | “We are tracking a specific amount of function that a patient has and the quality of that function. Because we can theoretically walk a patient a 100-feet, but what does that look like? “Are they safe to walk that 100 feet? What is the quality of their gait?” [Physical Therapist] | |
Adoption of future technology | Data Quality | Balance between data granularity, quantity and quality of mobility data recorded | “[Sensor data] might be great, but if the patient moves and [data] populates the flowsheet, pretty soon between that and your assessments you have how many rows of data in your chart?? If the patient is independent, I’m less concerned about seeing as much data.” [Nurse] |
Trending Data | Trending mobility measures with other clinical parameters to drive assessment and decision making | “I’m really big on monitoring vital signs during activity because you can see, they were 92% [oxygen saturation] in bed, and after we walked down the hall, and they’re 98%. So that’s a pretty good change.” [Physical Therapist] |