{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T08:36:32Z","timestamp":1783154192258,"version":"3.54.6"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T00:00:00Z","timestamp":1736121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T00:00:00Z","timestamp":1736121600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007881","name":"Johns Hopkins Children's Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007881","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early mobility is one strategy to reduce the harm from immobility that children experience in the paediatric intensive care unit (PICU). Early\u2010mobility programmes rely on nurses, who currently perceive insufficient training as a barrier to mobilizing critically ill children. Nurses have identified simulation as a strategy to improve implementation of early\u2010mobility protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To use adult learning theory to develop an early\u2010mobility simulation curriculum for nurses and to evaluate if the curriculum improves nursing self\u2010efficacy, knowledge and skills in mobilizing critically ill children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Using a curriculum development framework, an interprofessional team created a simulation curriculum. The educational strategies included group simulations, debriefing sessions and didactic sessions. The curriculum evaluation was conducted as quality improvement initiative using a pre\u2010post quasi\u2010experimental design to evaluate nurses' mobility self\u2010efficacy, knowledge and clinical skills.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eleven PICU nurses participated in the simulation\u2010based early mobility curriculum. Before participation in the curriculum, 73% of nurses felt fairly confident and no nurses felt confident mobilizing a PICU patient. After participation, 100% of nurses felt at least fairly confident mobilizing a PICU patient (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.031). Knowledge scores improved from a median of 14 (IQR, 12\u201316) questions correct to 17 (IQR, 16\u201318) questions correct (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.001). Nurses completed more required clinical tasks during the Observed Structured Clinical Examination, with improvement from a median of 15 items correct (IQR, 14\u201316) to 19 items correct (IQR, 15\u201320;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.0037).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Developing a simulation\u2010based early\u2010mobility curriculum for PICU nurses is feasible. Nurses who completed the curriculum had improved self\u2010efficacy, knowledge and clinical skills in mobilizing critically ill children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>The findings of this study demonstrate that simulation is a potentially useful educational tool to teach nurses to safely and effectively mobilize critically ill children. The strategy should be evaluated further to determine if it impacts physical rehabilitation at the bedside.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.13215","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T01:49:27Z","timestamp":1736214567000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Development and evaluation of a simulation\u2010based early\u2010mobility curriculum for paediatric intensive care nurses"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3921-0016","authenticated-orcid":false,"given":"Jessica M.","family":"LaRosa","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hallie","family":"Lenker","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Razvan","family":"Azamfirei","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"\u201cGeorge Emil Palade\u201d University of Medicine Pharmacy, Science, and Technology  Targu Mures Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Morgenstern","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nursing Charlotte R. Bloomberg Children's Center, Johns Hopkins Hospital  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista","family":"Hajnik","sequence":"additional","affiliation":[{"name":"Charlotte R. Bloomberg Children's Center Johns Hopkins Hospital  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Mennie","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Wieczorek","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen M.","family":"Brown","sequence":"additional","affiliation":[{"name":"School of Nursing Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Shilkofski","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical 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