Increasing Patient Mobility Through an Individualized Goal-centered Hospital Mobility Program: A Quasi-experimental Quality Improvement Project
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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. Discussion 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. Conclusions An individualized, nurse-directed, patient mobility program using daily mobility goals is a successful strategy to improve daily patient mobility in the hospital.
Ambulate; Goals; Hospital; Mobility; Mobility limitation; Patients
Klein, L. M.,
Daley, K. N.,
Hoyer, E. H.
Increasing Patient Mobility Through an Individualized Goal-centered Hospital Mobility Program: A Quasi-experimental Quality Improvement Project.