Human-Centered Design of a Virtual Reality Intervention to Promote Early Mobility in a Cardiothoracic ICU

Comput Inform Nurs. 2025 Oct 1;43(10):e01309. doi: 10.1097/CIN.0000000000001309.

Abstract

Creative solutions are needed to enhance mobility activities in the ICU to combat the sequela of prolonged bed rest. Virtual reality has gained favor for use in outpatient areas, yet the user experience of the ICU patient is relatively unknown. This qualitative study aimed to explore the patient experience of ICU mobility as it relates to the critically ill patient. Human-centered design methodology was used to generate a list of user needs. Analysis revealed the need for a progressive experience that builds on standard rehabilitation practices with dynamic elements that balance stimulation and relaxation that may effectively promote mobility for a challenging at-risk population.

Keywords: Augmented reality; Critical illness; Gamification; ICUs; Patient outcome assessment; Technology; Universal design; Virtual reality.

MeSH terms

  • Adult
  • Critical Illness / rehabilitation
  • Early Ambulation* / methods
  • Female
  • Humans
  • Intensive Care Units / organization & administration
  • Male
  • Middle Aged
  • Qualitative Research
  • User-Centered Design*
  • Virtual Reality*