Abstract
It is well established that admission to intensive care can result in physical, cognitive and psychological impairments. To assess and treat these impairments competently requires the use of outcome measures in clinical practice. To date, there are no evidence-based recommendations for specific measures to use at different time points on the trajectory of recovery. However, over 33 measures are currently published in research papers. While evidence is scant, the implementation for use of outcomes in daily practice by physiotherapists appears slow and variable. The key aim of this paper is to discuss methods to facilitate clinicians to use outcome measures at the bedside in the ICU. We describe and discuss the barriers and facilitators for use of outcome measures scaffolded in a behaviour change framework and to suggest practical methods by which clinicians may be enabled to use these measures on a daily basis.
Highlights
It is well established that admission to intensive care can result in physical, cognitive and psychological impairments [1]
There is a large volume of literature published that describe the effectiveness of rehabilitation or mobility interventions in the intensive care unit (ICU) including five randomized controlled trials (RCT) [4,5,6,7] and many systematic reviews synthesizing outcomes [8] [9] [10]
In this survey over 70% of therapist thought that standard outcome measures (OMs) could be confusing, difficult, and time consuming for patients
Summary
It is well established that admission to intensive care can result in physical, cognitive and psychological impairments [1]. The identification, treatment and ongoing management of these sequelae are reported to be a defining challenge in intensive care unit (ICU) for the 21st century [2, 3]. There is a large volume of literature published that describe the effectiveness of rehabilitation or mobility interventions in the ICU including five randomized controlled trials (RCT) [4,5,6,7] and many systematic reviews synthesizing outcomes [8] [9] [10]. Has there been uptake of the current research findings in clinical practice? It is well known that uptake of evidence based management is slow with reports of implementation taking an average of 17 years [13]. Examining the use of measurement of treatment outcomes in a clinical setting provides a similar scenario
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