Date of Graduation

Spring 5-17-2018

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Karin Blais

Second Advisor

Karin Blais

Third Advisor

Dr. Mary Seed



This project occurred in a 35-bed intensive care unit at a level II trauma center in central California. The purpose of this project was to strengthen the implementation of evidence-based initiatives promoted by the Society of Critical Care Medicine. The Society of Critical Care Medicine has a set of initiatives for the intensive care units nationwide to improve the outcomes for patients. One of the initiatives is the ICU Liberation, which includes six different bundles labeled: A, B, C, D, E, & F (Society of Critical Care Medicine ,2013). Their studies showed a significant improvement in the outcomes for the ICU patient according the Society of Critical Care Medicine.

Post intensive care syndrome and intensive care delirium has been decreased through mobilizing the ICU patients early upon admission (Hopkins, Mitchell, Thomsen, Schafer, Link, & Brown, 2016). Increased early mobility of both ventilated and non-ventilated patients has shown to increase muscle strength, improve quality of life and physical function. This led a reduction of length of ventilator days and the entire length of stay, therefore saving thousands of dollars (Lord, Mayhew, Korupolu, Mantheiy, Friedman, Palmer, & Needham, 2013)

The implementation of early mobility into the ICU workflow and consistently applying early mobility to every patient, every day, would be the goal for this project. It will require the assistance of all stakeholders: nurses, intensivists, respiratory therapists, and physical therapists. Providing continuous education and identifying barriers is an important part of implementing early mobility. This will assist in removing barriers and allowing this project to be successful (Castro, Turncinovic, Platz, & Law, 2015). Pre-project surveys, post-project survey, and weekly audits will be valuable tools to identify barriers, implement changes or provide further education if needed.