Ciclo de melhoria para progressão da mobilidade funcional de pacientes internados em unidade de terapia intensiva

Abstract

Introduction: The prolonged length of stay of patients admitted to the intensive care unit (ICU) predisposes to the incidence of complications arising from immobility, leading to rapid functional decline that may negatively impact the quality of life of the hospitalized individual, increasing healthcare costs. Objective: To develop an improvement cycle to optimize mobility in patients admitted to the Intensive Care Unit. Methodology: This is a quasi-experimental, before-after study, without a control group, with a quantitative approach, to be carried out in a public hospital in Pernambuco through an improvement cycle with the following steps: identification and prioritization of the opportunity for improvement based on the application of the Nominal Group Techniques and Prioritization Matrix; creation of a Cause and Effect Diagram to understand the potential causes related to this opportunity for improvement; survey of quality criteria, totaling nine criteria, and these were analyzed and validated, so that they could be evaluated in their fulfillment or not according to the defined quality level; planning and implementation of possible intervention proposals, to be later reassessed and compared. Results: There was an improvement in compliance with all quality criteria related to mobility progression in patients admitted to the ICU, reaching significant levels in three of them. Conclusion: This study enabled the optimization of functional mobility in patients admitted to the ICU after implementing good practices in an improvement cycle.