Increasing Patient Mobility Through an Individualized Goal-centered Hospital Mobility Program: A Quasi-experimental Quality Improvement Project

Authors

Lisa M. Klein MSN, RN, AGCNS-BC, CNRN, Johns Hopkins HospitalFollow
Daniel Young PT, DPT, PhD, University of Nevada, Las Vegas; Johns Hopkins UniversityFollow
Du Feng PhD, University of Nevada, Las VegasFollow
Annette Lavezza OTR/L, Johns Hopkins HospitalFollow
Stephanie Hiser ORT/L, Johns Hopkins Hospital
Kelly N. Daley PT, MBA, Johns Hopkins University
Erik H. Hoyer MD, Johns Hopkins University

Document Type

Article

Publication Date

2-27-2018

Publication Title

Nursing Outlook

First page number:

1

Last page number:

9

Abstract

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.

Keywords

Ambulate; Goals; Hospital; Mobility; Mobility limitation; Patients

Disciplines

Physical Therapy

Language

English

Repository Citation

Klein, L. M., Young, D., Feng, D., Lavezza, A., Hiser, S., Daley, K. N., Hoyer, E. H. (2018). Increasing Patient Mobility Through an Individualized Goal-centered Hospital Mobility Program: A Quasi-experimental Quality Improvement Project. Nursing Outlook 1-9.
http://dx.doi.org/10.1016/j.outlook.2018.02.006