Background and objective
Early mobilization is a safe and feasibly intervention to reduce the risk of functional decline in intensive care unit (ICU) patients due to bed rest and prolonged immobility [1, 2]. However,
most common barriers to adequate early mobilization are time constraints, equipment and inadequate staff training [3–6]. The multidisciplinary project* MobIPaR aims to develop and pretest an acceptable, feasible and safe device (VEMO) to overcome those barriers and to support frequent early mobilization in ICU patients. The object of the project is to guide the development, implementation and evaluation within the pretesting from a nursing science perspective using the scope of the MRC framework for complex interventions . The Project lasts from April 2017 until September 2020.
Within the scope of the dissertation a mixed method approach is followed. Requirements for the use of VEMO have been explored within a group discussion with nurses from ICU. To explore barriers and facilitators of implementing robotic devices in nursing care an integrative review has been conducted. User tests of VEMO in practice will be accommpied by observations and subsequently evaluated within group discussions with regard to its applicability. Thereby we take into account the perspective of involved health professionals (nurses and physiotherapists).
(expected) Results From the ICU nurses‘ perspective, easy handling with little preparation and follow-up work in additon to ensured patient safety are the key requirements for the application of the proposed robotic solution in daily practice. The review identified barriers and facilitators for the implementation of robotic devices in nursing from different dimensions. The results serve as a basis for implementation in ordner to reduce potential barriers and promote the integration of elements which facilitate implementation. Currently we are testing VEMO in practice and expect an safe and feasible device, which has a benefit for all involved parties.
Outlook Findings from the review, user tests, and an evaluation of the user training will serve as a basis for the development of a suitable implementation strategy for VEMO. This might also contribute to the overall approach of implementing innovations such as robotics in nursing.
*Project Partners: Schön Klinik Bad Aibling SE & Co. KG (SKBA), Reactive Robotics GmbH
(RR), Leibniz University Hannover (LUH), Protestant University of Applied Sciences Ludwigsburg (EH), Technical University Munich (TUM)
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