Feasibility and inter-rater reliability of the ICU Mobility Scale

Carol Hodgson, Dale Needham, Kimberley Haines, Michael John Bailey, Alison Ward, Megan Harrold, Paul Young, Jennifer M Zanni, Heidi Buhr, Alisa Higgins, Jeffrey J Presneill, Sue Berney

Research output: Contribution to journalArticleResearchpeer-review

100 Citations (Scopus)

Abstract

Objectives: The objectives of this study were to develop a scale for measuring the highest level of mobility in adult ICU patients and to assess its feasibility and inter-rater reliability. Background: Growing evidence supports the feasibility, safety and efficacy of early mobilization in the intensive care unit (ICU). However, there are no adequately validated tools to quickly, easily, and reliably describe the mobility milestones of adult patients in ICU. Identifying or developing such a tool is a priority for evaluating mobility and rehabilitation activities for research and clinical care purposes. Methods: This study was performed at two ICUs in Australia. Thirty ICU nursing, and physiotherapy staff assessed the feasibility of the ICU Mobility Scale (IMS) using a 10-item questionnaire. The inter-rater reliability of the IMS was assessed by 2 junior physical therapists, 2 senior physical therapists, and 16 nursing staff in 100 consecutive medical, surgical or trauma ICU patients. Results: An 11 point IMS scale was developed based on multidisciplinary input. Participating clinicians reported that the scale was clear, with 95 of respondents reporting that it took
Original languageEnglish
Pages (from-to)19 - 24
Number of pages6
JournalHeart and Lung
Volume43
Issue number1
DOIs
Publication statusPublished - 2014

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