Systemic Review Practice
Introduction
● Introduces the reader to the topic of interest
● Who are the stakeholders?
Background and Significance
● Summarize the current knowledge in your topic area (what is known and unknown about this topic area?)
● Define relevant terms
● Answer: Why is this issue significant to evidenced-based nursing practice/advanced practice nursing?
● Purpose of this integrative review
Methods
● Describe search strategy employed including databases and search terms used
● Describe screening criteria (inclusion/exclusion)
● Include PRISMA diagram in appendix
● How many total articles are included (total n)?
● Discuss method of data evaluation and data analysis (including data reduction, data display, data comparison, conclusion drawing/verification)
Findings
● To date, what methodologies have been used to study this particular topic?
● Present your synthesized findings of data evaluation and data analysis. This should be a synthesis of the findings and NOT a summary. If findings differed among studies, describe.
● Draw a conclusion about the findings based on your analysis
● What are the strengths of this body of literature? What are the weaknesses?
● Identify remaining gaps in the literature or practice
Implications
● How would further study/project implementation contribute to nursing research and practice knowledge of this topic
o Also consider implications for theory, education, policy as necessary
The topic is early mobility in mechanically ventilated **Trauma** patients.
resources include:
https://pubmed.ncbi.nlm.nih.gov/25987293/
– Zomorodi M, Topley D, McAnaw M. Developing a mobility protocol for early mobilization of patients in a surgical/trauma ICU. Crit Care Res Pract. 2012;2012:964547. doi: 10.1155/2012/964547. Epub 2012 Dec 20. PMID: 23320154; PMCID: PMC3539434.
**2- Johnson K, Petti J, Olson A, Custer T. Identifying barriers to early mobilisation among mechanically ventilated patients in a trauma intensive care unit. Intensive Crit Care Nurs. 2017 Oct;42:51-54. doi: 10.1016/j.iccn.2017.06.005. Epub 2017 Jul 23. PMID: 28743548.
**3- Clark DE, Lowman JD, Griffin RL, Matthews HM, Reiff DA. Effectiveness of an early mobilization protocol in a trauma and burns intensive care unit: a retrospective cohort study. Phys Ther. 2013 Feb;93(2):186-96. doi: 10.2522/ptj.20110417. Epub 2012 Aug 9. PMID: 22879442; PMCID: PMC3563027.
Booth, K., Rivet, J., Flici, R., Harvey, E., Hamill, M., Hundley, D., Holland, K., Hubbard, S., Trivedi, A., & Collier, B. (2016). Progressive Mobility Protocol Reduces Venous Thromboembolism Rate in Trauma Intensive Care Patients: A Quality Improvement Project. Journal of Trauma Nursing, 23(5), 284-289. https://doi-org.pluma.sjfc.edu/10.1097/JTN.0000000000000234
Anand, Tanya,M.D., M.P.H., Ponce, Santa,M.S., R.N., Pakula, Andrea,M.D., M.P.H., Norville, C., R.N., Kallish, D., R.T., Martin, M., M.D., & Skinner, R., M.D. (2018). Results from a Quality Improvement Project to Decrease Infection-Related Ventilator Events in Trauma Patients at a Community Teaching Hospital. The American Surgeon, 84(10), 1701-1704. https://pluma.sjfc.edu/login?url=https://www.proquest.com/scholarly-journals/results-quality-improvement-project-decrease/docview/2136862793/se-2
The focus of this systematic review is to explore the significance and current knowledge about early mobility in mechanically ventilated trauma patients. This topic is of interest to various stakeholders, including nurses, clinicians, and healthcare administrators. Improving the mobility of mechanically ventilated trauma patients has the potential to enhance patient outcomes, reduce complications, and optimize the utilization of healthcare resources.
The current understanding of early mobility in mechanically ventilated trauma patients is limited, with gaps in knowledge regarding its impact on patient outcomes and clinical practices. Early mobility is a critical aspect of evidence-based nursing practice and advanced nursing care, as it has the potential to reduce complications associated with prolonged immobility, such as ventilator-associated pneumonia and deep vein thrombosis. Addressing this gap is essential to enhance patient care and improve healthcare delivery.
The purpose of this integrative review is to critically analyze existing literature on the topic of early mobility in mechanically ventilated trauma patients. By synthesizing the findings from multiple studies, this review aims to identify trends, gaps, and opportunities for further research and practice improvement.
The search strategy included a comprehensive search of databases such as PubMed. Keywords and phrases such as “early mobility,” “mechanically ventilated trauma patients,” and related terms were used. Screening criteria were applied to select relevant articles based on their relevance to the topic. A PRISMA diagram in the appendix provides an overview of the article selection process. A total of four articles were included in this review.
Data evaluation and analysis involved assessing the methodologies used in each study, synthesizing the findings, and drawing conclusions based on the aggregated results. This process aimed to identify common themes and variations in the literature.
Studies on early mobility in mechanically ventilated trauma patients employ a range of methodologies, including protocol development, identification of barriers, and evaluation of effectiveness. The synthesized findings highlight the potential benefits of early mobility, such as reduced rates of ventilator-associated complications. However, variations in study methodologies and populations make it challenging to draw definitive conclusions.
The strengths of the body of literature lie in its collective effort to explore the impact of early mobility on mechanically ventilated trauma patients. The weaknesses include variations in study designs, limited sample sizes, and potential bias.
Remaining gaps in the literature include the need for standardized protocols, further exploration of barriers to implementation, and larger-scale studies to establish the long-term impact of early mobility on patient outcomes.
Further study and implementation of early mobility initiatives in mechanically ventilated trauma patients have the potential to contribute significantly to nursing research and practice. This topic holds implications for clinical care, education, and policy development. By optimizing patient mobility, healthcare providers can potentially reduce complications, improve patient outcomes, and enhance the quality of care provided to mechanically ventilated trauma patients.
In conclusion, this systematic review highlights the significance of early mobility in mechanically ventilated trauma patients and synthesizes the current knowledge in this area. By critically evaluating existing literature, this review identifies gaps, strengths, and weaknesses in the body of work. The implications of further study and practice implementation underscore the potential to enhance nursing research, clinical care, and patient outcomes within this critical population.
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