Cargando…

Implementation of a nurse-led multidisciplinary huddle meeting for improvement of early rehabilitation in ICU: a healthcare quality improvement project

The physical decline of critically ill patients affects their discharge from the intensive care unit (ICU) and their subsequent lives. Therefore, it is essential to actively provide rehabilitation at an early stage through multidisciplinary cooperation and protocols. This paper aims to describe the...

Descripción completa

Detalles Bibliográficos
Autores principales: Naya, Kazuaki, Sakuramoto, Hideaki, Aikawa, Gen, Hayashi, Kotaro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10537837/
https://www.ncbi.nlm.nih.gov/pubmed/37758665
http://dx.doi.org/10.1136/bmjoq-2022-002215
_version_ 1785113187623895040
author Naya, Kazuaki
Sakuramoto, Hideaki
Aikawa, Gen
Hayashi, Kotaro
author_facet Naya, Kazuaki
Sakuramoto, Hideaki
Aikawa, Gen
Hayashi, Kotaro
author_sort Naya, Kazuaki
collection PubMed
description The physical decline of critically ill patients affects their discharge from the intensive care unit (ICU) and their subsequent lives. Therefore, it is essential to actively provide rehabilitation at an early stage through multidisciplinary cooperation and protocols. This paper aims to describe the results of a project to improve the implementation rate of early rehabilitation. We established the ICU Early Rehabilitation Group, consisting of nurses, intensivists and physical therapists, and developed a protocol to perform early rehabilitation. According to this protocol, a nurse-led ‘multidisciplinary rehabilitation huddle meeting’ was introduced for early rehabilitation. Rehabilitation status, muscle strength and physical function were compared 9 months before and after the introduction of the huddle meeting. In addition, we assessed adverse events during rehabilitation. Since the introduction of huddle meetings, the implementation rate has been 100%. Furthermore, rehabilitation was implemented earlier and at a higher level after introducing huddle meetings. However, no significant difference was detected in muscle strength and physical function of the patients. In addition, no adverse events occurred during rehabilitation. This quality improvement project facilitated an earlier start to rehabilitation and a higher level of rehabilitation practice. Huddle meetings were smoothly introduced and settled in through multiprofessional communication. The lack of adverse events also suggested the programme’s effectiveness in safely implementing this type of rehabilitation at an early and high level.
format Online
Article
Text
id pubmed-10537837
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-105378372023-09-29 Implementation of a nurse-led multidisciplinary huddle meeting for improvement of early rehabilitation in ICU: a healthcare quality improvement project Naya, Kazuaki Sakuramoto, Hideaki Aikawa, Gen Hayashi, Kotaro BMJ Open Qual Quality Improvement Report The physical decline of critically ill patients affects their discharge from the intensive care unit (ICU) and their subsequent lives. Therefore, it is essential to actively provide rehabilitation at an early stage through multidisciplinary cooperation and protocols. This paper aims to describe the results of a project to improve the implementation rate of early rehabilitation. We established the ICU Early Rehabilitation Group, consisting of nurses, intensivists and physical therapists, and developed a protocol to perform early rehabilitation. According to this protocol, a nurse-led ‘multidisciplinary rehabilitation huddle meeting’ was introduced for early rehabilitation. Rehabilitation status, muscle strength and physical function were compared 9 months before and after the introduction of the huddle meeting. In addition, we assessed adverse events during rehabilitation. Since the introduction of huddle meetings, the implementation rate has been 100%. Furthermore, rehabilitation was implemented earlier and at a higher level after introducing huddle meetings. However, no significant difference was detected in muscle strength and physical function of the patients. In addition, no adverse events occurred during rehabilitation. This quality improvement project facilitated an earlier start to rehabilitation and a higher level of rehabilitation practice. Huddle meetings were smoothly introduced and settled in through multiprofessional communication. The lack of adverse events also suggested the programme’s effectiveness in safely implementing this type of rehabilitation at an early and high level. BMJ Publishing Group 2023-09-27 /pmc/articles/PMC10537837/ /pubmed/37758665 http://dx.doi.org/10.1136/bmjoq-2022-002215 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Quality Improvement Report
Naya, Kazuaki
Sakuramoto, Hideaki
Aikawa, Gen
Hayashi, Kotaro
Implementation of a nurse-led multidisciplinary huddle meeting for improvement of early rehabilitation in ICU: a healthcare quality improvement project
title Implementation of a nurse-led multidisciplinary huddle meeting for improvement of early rehabilitation in ICU: a healthcare quality improvement project
title_full Implementation of a nurse-led multidisciplinary huddle meeting for improvement of early rehabilitation in ICU: a healthcare quality improvement project
title_fullStr Implementation of a nurse-led multidisciplinary huddle meeting for improvement of early rehabilitation in ICU: a healthcare quality improvement project
title_full_unstemmed Implementation of a nurse-led multidisciplinary huddle meeting for improvement of early rehabilitation in ICU: a healthcare quality improvement project
title_short Implementation of a nurse-led multidisciplinary huddle meeting for improvement of early rehabilitation in ICU: a healthcare quality improvement project
title_sort implementation of a nurse-led multidisciplinary huddle meeting for improvement of early rehabilitation in icu: a healthcare quality improvement project
topic Quality Improvement Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10537837/
https://www.ncbi.nlm.nih.gov/pubmed/37758665
http://dx.doi.org/10.1136/bmjoq-2022-002215
work_keys_str_mv AT nayakazuaki implementationofanurseledmultidisciplinaryhuddlemeetingforimprovementofearlyrehabilitationinicuahealthcarequalityimprovementproject
AT sakuramotohideaki implementationofanurseledmultidisciplinaryhuddlemeetingforimprovementofearlyrehabilitationinicuahealthcarequalityimprovementproject
AT aikawagen implementationofanurseledmultidisciplinaryhuddlemeetingforimprovementofearlyrehabilitationinicuahealthcarequalityimprovementproject
AT hayashikotaro implementationofanurseledmultidisciplinaryhuddlemeetingforimprovementofearlyrehabilitationinicuahealthcarequalityimprovementproject