A unit-based, multi-center evaluation of adopting mobility measures and daily mobility goals in the hospital setting.
Goals
Hospital
Mobility
Mobility limitation
Patients
Quality improvement
Journal
Applied nursing research : ANR
ISSN: 1532-8201
Titre abrégé: Appl Nurs Res
Pays: United States
ID NLM: 8901557
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
received:
26
04
2022
revised:
10
10
2022
accepted:
06
12
2022
entrez:
18
3
2023
pubmed:
19
3
2023
medline:
22
3
2023
Statut:
ppublish
Résumé
Promoting patient mobility helps improve patient outcomes, but mobility status is not widely tracked nor do patients have specific individualized mobility goals. We evaluated nursing adoption of mobility measures and daily mobility goal achievement using the Johns Hopkins Mobility Goal Calculator (JH-MGC), a tool to guide an individualized patient mobility goal based on the level of mobility capacity. Built on a translating research into practice framework, the Johns Hopkins Activity and Mobility Promotion (JH-AMP) program was the vehicle to promote use of the mobility measures and the JH-MGC. We evaluated a large-scale implementation effort of this program on 23 units across two medical centers. Units significantly improved documentation compliance to mobility measures and achieving daily mobility goals. Units with the highest documentation compliance rates had higher rates of daily mobility goal achievement, especially for longer distance ambulation goals. The JH-AMP program improved adoption of mobility status tracking and higher nursing inpatient mobility levels.
Sections du résumé
BACKGROUND
Promoting patient mobility helps improve patient outcomes, but mobility status is not widely tracked nor do patients have specific individualized mobility goals.
PURPOSE
We evaluated nursing adoption of mobility measures and daily mobility goal achievement using the Johns Hopkins Mobility Goal Calculator (JH-MGC), a tool to guide an individualized patient mobility goal based on the level of mobility capacity.
METHOD
Built on a translating research into practice framework, the Johns Hopkins Activity and Mobility Promotion (JH-AMP) program was the vehicle to promote use of the mobility measures and the JH-MGC. We evaluated a large-scale implementation effort of this program on 23 units across two medical centers.
FINDINGS
Units significantly improved documentation compliance to mobility measures and achieving daily mobility goals. Units with the highest documentation compliance rates had higher rates of daily mobility goal achievement, especially for longer distance ambulation goals.
DISCUSSION
The JH-AMP program improved adoption of mobility status tracking and higher nursing inpatient mobility levels.
Identifiants
pubmed: 36933900
pii: S0897-1897(22)00097-0
doi: 10.1016/j.apnr.2022.151655
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
151655Informations de copyright
Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors have no competing interests to declare.