Evaluate the effectiveness of nurse-driven early mobility protocols among ICU patients at a selected hospital of Dehradun

Abstract

Background: Prolonged immobility among intensive care unit (ICU) patients contributes to muscle weakness, delayed weaning from ventilators, and poor post-discharge quality of life. Nurse-driven early mobility protocols aim to promote safe and progressive movement in ICU patients to prevent functional decline. Objectives: To assess ICU patients’ condition before and after implementing nurse-driven early mobility protocols, evaluate the protocol’s effectiveness, and identify associations with demographic variables. Methods: A quasi-experimental pilot study with control and experimental groups was conducted among 24 ICU patients at Aarogyadham Super Speciality Hospital & Research Centre, Dehradun. Data were collected using a structured mobility assessment scale. The experimental group received nurse-driven mobility interventions, while the control group received routine care. Data were analyzed using descriptive and inferential statistics, including paired and independent t-tests and Chi-square tests. Results: In the experimental group, mean patient condition scores improved from 8.33 (SD = 1.77) to 12.25 (SD = 1.48), with a mean difference of 3.92 (t = 8.32, p<0.001). The control group showed only minor improvement (mean = 9.3 ? 10.21; t = 1.38, p>0.05). No significant associations were found between demographic variables and mobility outcomes. Conclusion: The nurse-driven early mobility protocol significantly improved the condition of ICU patients in the experimental group, demonstrating its feasibility and potential for large-scale implementation.