Lisa M Klein1, Daniel Young2, Du Feng3, Annette Lavezza4, Stephanie Hiser4, Kelly N Daley5, Erik H Hoyer6. 1. Department of Neurosciences, Johns Hopkins Hospital, Baltimore, MD. Electronic address: lklein14@jhmi.edu. 2. Department of Physical Therapy, University of Nevada Las Vegas, Las Vegas, NV; Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD. 3. School of Nursing, University of Nevada, Las Vegas, NV. 4. Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD. 5. Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Johns Hopkins University, Baltimore, MD. 6. Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD.
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. 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.
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.
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