Evidence-Based Practice (EBP) Article Discussion Board 10

Evidence Based Practice Ebp Article Discussion Board 10 Of Grade

Evidence-Based Practice (EBP) Article discussion Board) (10% of grade) (CC4. a, b) Students will select a nursing article on an evidence-based updated practice related to nursing practice or health assessment. The 2-page pap (not including title page and references) will follow APA format. The student is expected to include the following elements in the pap: 1. Provide at least one to two paragraphs summarizing the essential of the new updated practice. 2. Include a section describing your view of the practice 3. Include a section describing the nursing implication in bringing this new practice to the bedside 4. The student will reply to one peer

Paper For Above instruction

In this discussion, I have selected an evidence-based practice article focusing on the use of early mobility protocols for critically ill patients in the intensive care unit (ICU). The essential update in this practice emphasizes the importance of implementing early physical activity interventions to improve patient outcomes, including reduced length of stay, decreased incidence of ICU-acquired weakness, and enhanced functional recovery. The article highlights recent research demonstrating that initiating mobility activities within 48 hours of ICU admission is safe and beneficial, challenging previous practices that often delayed mobilization due to concerns about patient stability. The updated protocols include specific guidelines on patient assessment for mobility readiness, interdisciplinary collaboration, and structured progressive mobilization strategies tailored to individual patient needs. Evidence from multiple studies, including randomized controlled trials, supports the shift toward earlier and more systematic mobilization in critical care settings, ultimately advocating for its integration into standard ICU care practices to promote faster recovery and reduce complications associated with immobility.

My view of this practice is highly favorable, as it aligns with the broader goals of holistic, patient-centered care. Early mobilization addresses not only physical recovery but also mental health aspects, such as reducing delirium and promoting a sense of normalcy. While some skepticism remains regarding safety concerns, the accumulating evidence suggests that with proper assessment and interdisciplinary teamwork, early mobility can be safely incorporated into routine ICU care. Implementing such protocols requires a cultural shift within ICU teams, emphasizing the importance of collaboration among nurses, physical therapists, respiratory therapists, and physicians. The benefit of fostering such teamwork is clear; it can facilitate smooth, safe mobilization procedures and improve patient outcomes, thereby enhancing overall quality of care.

The nursing implications of integrating this updated practice are considerable. Nurses play a pivotal role in the assessment and monitoring of patients’ readiness for mobilization, administering appropriate interventions, and ensuring patient safety during activities. Education and training are essential for nursing staff to recognize early signs of instability and to execute mobilization protocols confidently. Furthermore, nurses must advocate for resource allocation, including appropriate staffing and equipment, to support early mobility initiatives. Embracing this practice may require overcoming barriers such as staffing shortages, safety concerns, and ingrained care routines that favor bed rest. Nevertheless, the positive impact on patient outcomes underscores the importance of adopting this evidence-based approach. Effective communication and collaboration across the care team are crucial to translating the research into routine clinical practice, ultimately leading to improved recovery trajectories for critically ill patients.

References

• Brody, S. S., & Topping, S. (2021). Early mobilization in the ICU: A review of evidence-based practices. Journal of Critical Care Nursing, 37(2), 89-97.
• Hodgson, C. S., & Berney, S. (2020). Implementing early mobility protocols in intensive care units: Challenges and solutions. Critical Care Clinics, 36(4), 259-272.
• Needham, D. M., et al. (2018). Early physical and occupational therapy in mechanically ventilated patients: A multicenter randomized controlled trial. Critical Care Medicine, 46(6), 945-954.
• Schweickert, W. D., et al. (2019). Mobilization of critically ill patients in the ICU: A systematic review. Journal of Intensive Care Medicine, 34(5), 345-352.
• Desai, S. V., et al. (2020). Critical care rehabilitation: A review of current practices and future directions. Respiratory Care, 65(2), 315-324.
• Levine, S., et al. (2019). Impact of early mobility on patient outcomes in ICU: A systematic review. Critical Care Medicine, 47(4), 452-460.
• Ferrer, M., et al. (2022). Implementation strategies for early mobility in ICU: Practical considerations. Journal of Critical Care, 38, 108-115.
• Harvey, L. A., et al. (2021). Barriers and facilitators to implementing early mobilization in ICUs: A qualitative study. Intensive and Critical Care Nursing, 66, 103017.
• Stiller, K., et al. (2020). Evidence-based guidelines for early mobility in ICU patients. Australian Critical Care, 33(1), 45-53.
• Needham, D. M., & Korupolu, R. (2019). Early active mobilization for ICU survivors: A protocol for clinical practice. Critical Care Clinics, 35(2), 217-230.