A feasibility study of implementing early mobilization nursing practice guidelines for critically ill patients


  • Rujeerat Jaengsook Graduate nursing student, Master of Nursing Science Program (Adult Nursing), Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Apinya Siripitayakunkit Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Sumolchat Duangbubpha Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Poramed Chayaratanasin Department of Rehabilitation, Faculty of Medicine Ramathibodi Hospital, Mahidol University


nursing practice guidelines, early mobilization, critically ill patient, feasibility study


        This study was a quasi-experimental research with a one group pre-test and post-test. The purposes were to 1) evaluate the feasibility of implementing the early mobilization nursing practice guideline (EMNPG), and 2) examine patient outcomes, patients’ and nurses’ satisfaction after implementing the EMNPG. The purposive sampling was used to recruit 82 critical care nurses and 14 patients who admitted in critical care units at Ramathibodi Hospital and received nursing care following the EMNPG. Data were collected for 2 months. Data were collected using the personal data form, the evaluation form for the feasibility of the EMNPG, the nurse’s satisfaction, and the patient satisfaction questionnaire. The data were analyzed using descriptive statistics (frequency, range, percentage, mean and standard deviation), using McNemar’s test to compare event of orthostatic hypotension and Wilcoxon signed-rank test was used to compare the pre-posttest of respiratory muscle strength.

        The results revealed that the EMNPG for critically ill patients is safe and feasibility. The patients’ satisfaction on early mobilization care was at a moderate level, and the satisfaction level of nurses was at high to the highest. No event of hypostatic hypotension was found, and the post-test respiratory muscle strength was significantly increased when compared with the pre-test. About 57.14 percent of patients were able to increase their physical activity up from passive exercise to active exercise. It is recommended that the EMNPG should be set as a guideline in critical care units. Training to educate nurses about early mobilization nursing practice guideline for them to be confident in their practice and should be promoted as a hospital policy for critical ill patients to improve the quality of care.


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