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

Autor: Klein LM; Department of Neurosciences, Johns Hopkins Hospital, Baltimore, MD. Electronic address: lklein14@jhmi.edu., Young D; Department of Physical Therapy, University of Nevada Las Vegas, Las Vegas, NV; Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD., Feng D; School of Nursing, University of Nevada, Las Vegas, NV., Lavezza A; Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD., Hiser S; Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD., Daley KN; Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Johns Hopkins University, Baltimore, MD., Hoyer EH; Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD.
Jazyk: angličtina
Zdroj: Nursing outlook [Nurs Outlook] 2018 May - Jun; Vol. 66 (3), pp. 254-262. Date of Electronic Publication: 2018 Feb 27.
DOI: 10.1016/j.outlook.2018.02.006
Abstrakt: Background: Hospital-acquired functional decline due to decreased mobility has negative impacts on patient outcomes. Current nurse-directed mobility programs lack a standardized approach to set achievable mobility goals.
Purpose: We aimed to describe implementation and outcomes from a nurse-directed patient mobility program.
Method: The quality improvement mobility program on the project unit was compared to a similar control unit providing usual care. The Johns Hopkins Mobility Goal Calculator was created to guide a daily patient mobility goal based on the level of mobility impairment.
Findings: On the project unit, patient mobility increased from 5.2 to 5.8 on the Johns Hopkins Highest Level of Mobility score, mobility goal attainment went from 54.2% to 64.2%, and patients exceeding the goal went from 23.3% to 33.5%. All results were significantly higher than the control unit.
Discussion: An individualized, nurse-directed, patient mobility program using daily mobility goals is a successful strategy to improve daily patient mobility in the hospital.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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