Increasing patient mobility through an individualized goal-centered hospital mobility program: A quasi-experimental quality improvement project

Klein, Lisa M.; Young, Daniel L.; Du, Feng; Lavezza, Annette; Hiser, Stephanie; Daley, Kelly; Hoyer, Erik H.

doi:10.1016/j.outlook.2018.02.006

Cited by 44 publications

(52 citation statements)

References 40 publications

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“…Nurse-led mobility assessment featured in seven studies using assessment tools like the Bedside Mobility Assessment tool (Jones et al, 2020), Genesis mobility protocol (Padula et al, 2009) or Ambulation, Bed-Chair, Cannot transfer (ABC) tool (Liu et al, 2018;Moore et al, 2014) to reduce reliance on physiotherapy referral. Two studies (Hoyer et al, 2016;Klein et al, 2018) used the Johns Hopkins Highest Level of Mobility Scale or the Johns Hopkins Mobility Goal Calculator to enable nurses to set daily mobilization goals with patients. Two studies introduced high-protein high-energy (HPHE) diets for all patients regardless of nutritional status (Roberts et al, 2019;Young et al, 2018), whilst three studies provided HPHE diets for patients deemed nutritionally at risk Hoekstra et al, 2011;Young et al, 2018).…”

Section: Mobilization-specific Interventionsmentioning

confidence: 99%

Systematic review of interventions targeting fundamental care to reduce hospital‐associated decline in older patients

Foubert

Cummins

McCullagh

et al. 2021

Journal of Advanced Nursing

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Section: Mobilization-specific Interventionsmentioning

confidence: 99%

Systematic review of interventions targeting fundamental care to reduce hospital‐associated decline in older patients

Foubert

Cummins

McCullagh

et al. 2021

Journal of Advanced Nursing

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“…However, additional research is necessary to explore these findings. QI projects aimed at increasing mobility led or championed by nursing staff have shown positive results with regard to the prevention of hospital acquired functional decline 20,29,30 . Yet, that strategy relies heavily on a single health profession and underestimates the growing evidence exposing missed or rationed nursing care in acute care hospitals 20,21 .…”

Section: Discussionmentioning

confidence: 99%

BOOSTing patient mobility and function on a general medical unit by enhancing interprofessional care

Johnson

Kuperstein

Graham

et al. 2021

Sci Rep

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Low mobility during hospitalization remains prevalent despite associated negative consequences. The goal of this quality improvement (QI) project was to increase patient mobility and function by adding a physical therapist (PT) to an existing interprofessional care team. A mobility technician assisted treatment group patients with mobility during hospitalization based on physical therapist recommendations. Change in functional status and highest level of mobility achieved by treatment group patients was measured from admission to discharge. Observed hospital length of stay (LOS), LOS index, and 30-day all cause hospital readmission comparisons between treatment group and a comparison group on the same unit, and between cross-sectional comparison groups one year prior were used for Difference in Difference analysis. Bivariate comparisons between the treatment and a cross-sectional comparison group from one year prior showed a statistically significant change in LOS Index. No other bivariate comparisons were statistically significant. Difference in Difference methods showed no statistically significant change in observed LOS, LOS Index, or 30-day readmission. Patients in the treatment group had statistically significant improvements in functional status and highest level of mobility achieved. Physical function and mobility improved for patients who participated in mobility sessions. Mobility technicians may contribute to improved care quality and patient safety in the hospital.

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“…At our institution, documentation of JH‐HLM is a hospital‐wide policy for nurses at least once per shift; daily documentation rates for the units in this study were >90%. We have previously examined nursing recorded JH‐HLM scores, and they have excellent test–retest and interrater reliability (Hoyer et al, , ; Klein et al, ). The maximum daily JH‐HLM scores for each patient day were averaged across their hospitalization.…”

Section: Methodsmentioning

confidence: 99%

“…This study was part of an interdisciplinary quality improvement (QI) initiative between nurses, physicians and rehabilitation specialists which considers daily ambulation an important marker of overall functional impairment and debility (Enright et al, ; Klein et al, ; Martin‐Ponce et al, ). Here, we sought to characterize the relationship between patient ambulatory status and frequency of daily call bell use in an adult neuroscience population.…”

Section: Introductionmentioning

confidence: 99%

Association between ambulatory status and call bell use in hospitalized patients—A retrospective cohort study

et al. 2019

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Aim: Characterize the relationship between patient ambulatory status and in-hospital call bell use.Background: Although call bells are frequently used by patients to request help, the relationship between physical functioning and call bell use has not been evaluated. Methods:Retrospective cohort study of 944 neuroscience patients hospitalized in a large academic urban medical centre between April 1, 2014 and August 1, 2014. We conducted multiple linear regression analyses with number of daily call bells from each patient as the primary outcome and patients' average ambulation status as the primary exposure variable. Results:The mean number of daily call bell requests for all patients was 6.9 (6.1), for ambulatory patients 5.6 (4.8), and for non-ambulatory patients, it was 7.7 (6.6).Compared with non-ambulatory patients, ambulatory patients had a mean reduction in call bell use by 1.7 (95% CI 2.5 to −0.93, p < .001) calls per day. In a post hoc analysis, patients who could walk >250 feet had 5 fewer daily call bells than patients who were able to perform in-bed mobility.Conclusion: Ambulatory patients use their call bells less frequently than non-ambulatory patients.Implications for Nursing Management: Frequent use of call bells by non-ambulatory patients can place additional demands on nursing staff; patient mobility status should be considered in nurse workload/patient assignment. | 55CAPO-LUGO et AL.

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Increasing patient mobility through an individualized goal-centered hospital mobility program: A quasi-experimental quality improvement project

Cited by 44 publications

References 40 publications

Systematic review of interventions targeting fundamental care to reduce hospital‐associated decline in older patients

Systematic review of interventions targeting fundamental care to reduce hospital‐associated decline in older patients

BOOSTing patient mobility and function on a general medical unit by enhancing interprofessional care

Association between ambulatory status and call bell use in hospitalized patients—A retrospective cohort study

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