2.50
Hdl Handle:
http://hdl.handle.net/10755/183055
Category:
Abstract
Type:
Presentation
Title:
Immobility within the Intensive Care Unit and the Beach Chair Position
Author(s):
Caraviello, Kelly Anne; Nemeth, Lynne
Author Details:
Kelly Anne Caraviello, RN, CCRN, email: caraviek@musc.edu; Lynne Nemeth, PhD, RN
Abstract:
Purpose:
Bedrest in the critically ill patient leads to many complications. The Beach Chair Position (BCP) has been used to promote lung expansion, but research has not yet validated the effectiveness of this positioning technique. This study evaluates lung compliance and expansion of critical care patients placed in the BCP and hypothesizes a reduction in Ventilator Associated Pneumonis (VAP) rates, ICU Length of Stay (LOS) and ventilator days for patients placed in the BCP.
Methods:
200 ICU patients meeting inclusion criteria are placed in the BCP 4 times daily using the Hill-Rom bed. VAP rates, ventilator days, hospital LOS and ICU LOS are collected using administrative data for study patients and a retrospective cohort. Chi square analyses explore associations of the dichotomous variables: VAP and BCP positioning. The continuous variables ICU LOS and ventilator days are examined using pooled t tests. Further examination of the relationships of the main outcome variables use linear regression for continuous variables and logistic regression for categorical variables adjusting for demographic variables: age, sex, race, and unit.
Findings:
Study enrollment of the 200 patients is expected to be complete in November 2008. Preliminary data collected from 1787 patients to date suggest a reduction in the rate of VAP but the entire data set is not yet complete.
Discussion:
The concept of early mobilization of ventilated and sedated patients is a relatively new idea. The lungs expand more efficiently in an upright position. VAP is the leading cause of death among patients with hospital-acquired infections and increases patientÆs ICU stay and the hospital bill. Research shows the majority of nurses are aware that upright positioning helps prevent VAP. Current guidelines related to the prevention of VAP advocate semi-recumbent positioning but limited research is available that has formally linked the effects of the BCP on VAP outcomes.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImmobility within the Intensive Care Unit and the Beach Chair Positionen_GB
dc.contributor.authorCaraviello, Kelly Anneen_US
dc.contributor.authorNemeth, Lynneen_US
dc.author.detailsKelly Anne Caraviello, RN, CCRN, email: caraviek@musc.edu; Lynne Nemeth, PhD, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/183055-
dc.description.abstractPurpose:<br/>Bedrest in the critically ill patient leads to many complications. The Beach Chair Position (BCP) has been used to promote lung expansion, but research has not yet validated the effectiveness of this positioning technique. This study evaluates lung compliance and expansion of critical care patients placed in the BCP and hypothesizes a reduction in Ventilator Associated Pneumonis (VAP) rates, ICU Length of Stay (LOS) and ventilator days for patients placed in the BCP. <br/>Methods:<br/>200 ICU patients meeting inclusion criteria are placed in the BCP 4 times daily using the Hill-Rom bed. VAP rates, ventilator days, hospital LOS and ICU LOS are collected using administrative data for study patients and a retrospective cohort. Chi square analyses explore associations of the dichotomous variables: VAP and BCP positioning. The continuous variables ICU LOS and ventilator days are examined using pooled t tests. Further examination of the relationships of the main outcome variables use linear regression for continuous variables and logistic regression for categorical variables adjusting for demographic variables: age, sex, race, and unit. <br/>Findings: <br/>Study enrollment of the 200 patients is expected to be complete in November 2008. Preliminary data collected from 1787 patients to date suggest a reduction in the rate of VAP but the entire data set is not yet complete. <br/>Discussion:<br/>The concept of early mobilization of ventilated and sedated patients is a relatively new idea. The lungs expand more efficiently in an upright position. VAP is the leading cause of death among patients with hospital-acquired infections and increases patient&AElig;s ICU stay and the hospital bill. Research shows the majority of nurses are aware that upright positioning helps prevent VAP. Current guidelines related to the prevention of VAP advocate semi-recumbent positioning but limited research is available that has formally linked the effects of the BCP on VAP outcomes.en_GB
dc.date.available2011-10-28T16:12:38Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:12:38Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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