Lightning Talk

Early Mobilization in the Intensive Care Unit: An Educational Program to Foster Teamwork

Thursday, August 6, 2020, 1:15 pm - 2:15 pm EDT
Sample video
Lightning Talk Presentation

Introduction:

Every year in the United States, more than 5.7 million patients are admitted to the intensive care unit (ICU), of which 25-50% develop ICU-acquired weakness (ICU-AW), defined as new onset weakness that occurs during critical illness. Patients with ICU-AW have worse outcomes including increased mortality, longer hospitalizations, worse quality of life years after they leave the ICU, and greater healthcare costs. Early mobilization is a low-risk strategy associated with improvement in ICU-AW, and society guidelines recommend a multidisciplinary approach, including physical therapists (PT) and physicians, for rehabilitation and mobilization in critically ill patients. However, at Emory University School of Medicine, Doctor of PT (DPT) and medical doctor (MD) students participate in separate critical care curriculums and clinical rotations, and are unlikely to develop core competencies for the interprofessional approach recommended in the early mobilization of patients in the ICU.

 

Methods:

To optimize practice in the interprofessional clinical learning environment, we merged DPT and MD students’ critical care curriculums using team-based didactics and simulations, with the focus on early mobilization of patients in the ICU. To evaluate the impact on interprofessional education, we administered a 19-item student survey to the first student cohort (n=29) on attitudes towards teamwork (5-point Likert scale) both pre- and post-curriculum, and compared them using unpaired t-tests.

 

Results:

After the curriculum, students answered that they were more able to communicate effectively about patient care with persons from healthcare professions other than their own (p=0.022), more able to use terminology that is unique to other healthcare professions (p < 0.01), and better understood the roles of other health care professionals (p=0.014).

 

Discussion:

Students held more favorable attitudes towards teamwork after an interprofessional curriculum combining DPT and MD students. This approach can be expanded to enhance student experience for future clinical education and practice, and ultimately improve patient outcomes.

 

This activity has been planned and implemented by the National Center for Interprofessional Practice and Education. In support of improving patient care, the National Center for Interprofessional Practice and Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.

Physicians: The National Center for Interprofessional Practice and Education designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™.

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

Nurses: Participants will be awarded up to 1.25 contact hours of credit for attendance at this workshop.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

Pharmacists: This activity is approved for 1.25 contact hours (.125 CEU) UAN: JA4008105-0000-20-060-H04-P; JA4008105-0000-20-060-H04-T

Social Workers: As a Jointly Accredited Organization, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive up to 1.25 continuing education credits.

IPCE: This activity was planned by and for the healthcare team, and learners will receive 1.25 Interprofessional Continuing Education (IPCE) credits for learning and change

Disclosures:

In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, adopted by the Joint Accreditors for Interprofessional Continuing Education, the National Center for Interprofessional Practice and Education has a conflict of interest policy that requires that all individuals involved in the development of activity content disclose their relevant financial relationships with commercial interests. All potential conflicts of interest that arise based upon these financial relationships are resolved prior to the educational activity.

Fernando Ona, Samuel Lowe, Steven Bingaman, Bethany Robertson, Amisha Metha, Jessica Star, Meredith Lora, Shirly Kooran, Beth Quatrara, Beth Turrentine, Danny Harris, Lisa Daniels, Kathy Lee Bishop, Jennifer Sharp, Caroline Coleman, Douglas Ander, Chase Corvin, Anastasia Pozdnyakova, Kelli Yukon, Allison Norenberg, Kimisha Cassidy, Kevin Roggin, Ross Milner, Vineet Arora

declare no vested interest in or affiliation with any commercial interest offering financial support for this interprofessional continuing education activity, or any affiliation with a commercial interest whose philosophy could potentially bias their presentation.