Supplemental Digital Content 1. PICU Up! Qualitative Staff Interview Guide Participant Involvement
1. How are you currently involved with early mobilization as a part of the PICU Up! program?
2. What do you think about your available resources and how well equipped you are to participate in PICU early mobilization?
a. How has that changed over time?
Individual Beliefs and Perspectives
1. Were you on staff prior to the PICU Up! program implementation?
2. What are your thoughts about the benefits of early mobilization in the PICU?
3. What, if any, challenges do you face in participating in early mobilization in the PICU?
4. At what time should patients begin mobilization and rehabilitation?
5. What do you think is adequate expertise and training to participate in early mobilization in the PICU?
6. What are your thoughts on how children in the PICU are sedated currently?
7. What are your thoughts on the ambulation of mechanically ventilated patients as a part of early mobilization efforts?
Early Mobility in the PICU Environment
1. What do you think your colleagues think about early mobilization as part of PICU Up!?
a. How has that changed over time?
b. If there was change, what do you think contributed to that change?
2. What is your assessment of how PICU staff generally adhere to the PICU Up! protocol?
3. Which areas of the protocol are the most difficult to facilitate?
a. Which areas of the protocol are the easiest to facilitate?
4. How do you engage your colleagues in early mobilization and address concerns within your discipline as well as a multi-disciplinary team?
5. What are your thoughts on how delirium is screened for and approached in the PICU?
a. What changes, if any, have you observed on how delirium is screened for and approached after PICU Up! implementation? (if they were here prior)
6. What changes, if any, have you observed in the culture of sedation in the PICU after PICU Up! implementation? (if they were here prior)
Adaptations
1. What adaptations have you made in your workflow or clinical practice to participate in PICU early mobilization?
Patient and Family Member Response
1. How did the patients react or respond to early mobilization?
a. What is your perception of their beliefs about participating in early mobilization?
2. How did family members react or respond to early mobilization efforts with the patient?
a. What is your perception of their beliefs regarding early mobilization efforts?
3. What are your perceptions of how sleep hygiene is approached in the PICU?
a. How do you think early mobilization in the PICU impacts sleep hygiene?
4. How do you think PICU Up! changed short and long-term outcomes with particular patients?
5. Given heterogeneous nature of the PICU, what patients do you find the easiest to engage with as part of PICU Up!?
a. Who are the most difficult patients to engage with as part of PICU Up!?
Overall Job Satisfaction
1. What, if any, impact does participating in early mobilization as a part of PICU Up! have on your job satisfaction?
2. How has participating in early mobilization as a part of PICU Up! changed your perspective emotionally towards your job?
3. What contributions do you believe you are making to pediatric care as a result of your efforts in early mobilization?
PICU Up! Program Improvements
1. What things, if any, facilitated you in participating in early mobilization in the PICU?
2. What would you recommend to other PICUs who are starting an early mobilization program?
