Association between ambulatory status and call bell use in hospitalized patients-A retrospective cohort study.
call bells
functional status
nurse call system
patient call system
quality of care
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
28
11
2018
revised:
07
10
2019
accepted:
09
10
2019
pubmed:
13
10
2019
medline:
18
9
2020
entrez:
13
10
2019
Statut:
ppublish
Résumé
Characterize the relationship between patient ambulatory status and in-hospital call bell use. Although call bells are frequently used by patients to request help, the relationship between physical functioning and call bell use has not been evaluated. 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. 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. Ambulatory patients use their call bells less frequently than non-ambulatory patients. 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.
Sections du résumé
AIM
OBJECTIVE
Characterize the relationship between patient ambulatory status and in-hospital call bell use.
BACKGROUND
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
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
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
CONCLUSIONS
Ambulatory patients use their call bells less frequently than non-ambulatory patients.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
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.
Types de publication
Journal Article
Langues
eng
Pagination
54-62Subventions
Organisme : Foundation for Physical Therapy's Center of Excellence in Physical Therapy Health Services and Health Policy Research and Training Grant
Informations de copyright
© 2019 John Wiley & Sons Ltd.
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