Literature DB >> 33619329

BOOSTing patient mobility and function on a general medical unit by enhancing interprofessional care.

A M Johnson1, J Kuperstein2, R Hogg Graham3, P Talari4, A Kelly5, E E Dupont-Versteegden2.   

Abstract

Low mobility during hospitalization remains prevalent despite associated negative consequences. The goal of this quality improvement (QI) project was to increase patient mobility and function by adding a physical therapist (PT) to an existing interprofessional care team. A mobility technician assisted treatment group patients with mobility during hospitalization based on physical therapist recommendations. Change in functional status and highest level of mobility achieved by treatment group patients was measured from admission to discharge. Observed hospital length of stay (LOS), LOS index, and 30-day all cause hospital readmission comparisons between treatment group and a comparison group on the same unit, and between cross-sectional comparison groups one year prior were used for Difference in Difference analysis. Bivariate comparisons between the treatment and a cross-sectional comparison group from one year prior showed a statistically significant change in LOS Index. No other bivariate comparisons were statistically significant. Difference in Difference methods showed no statistically significant change in observed LOS, LOS Index, or 30-day readmission. Patients in the treatment group had statistically significant improvements in functional status and highest level of mobility achieved. Physical function and mobility improved for patients who participated in mobility sessions. Mobility technicians may contribute to improved care quality and patient safety in the hospital.

Entities:  

Mesh:

Year:  2021        PMID: 33619329      PMCID: PMC7900133          DOI: 10.1038/s41598-021-83444-1

Source DB:  PubMed          Journal:  Sci Rep        ISSN: 2045-2322            Impact factor:   4.379


  37 in total

1.  Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization.

Authors:  Luke O Hansen; Jeffrey L Greenwald; Tina Budnitz; Eric Howell; Lakshmi Halasyamani; Greg Maynard; Arpana Vidyarthi; Eric A Coleman; Mark V Williams
Journal:  J Hosp Med       Date:  2013-07-22       Impact factor: 2.960

2.  Functional impairment and hospital readmission in Medicare seniors.

Authors:  S Ryan Greysen; Irena Stijacic Cenzer; Andrew D Auerbach; Kenneth E Covinsky
Journal:  JAMA Intern Med       Date:  2015-04       Impact factor: 21.873

3.  Hospital readmission in persons with stroke following postacute inpatient rehabilitation.

Authors:  K J Ottenbacher; J E Graham; A J Ottenbacher; J Lee; S Al Snih; A Karmarkar; T Reistetter; G V Ostir
Journal:  J Gerontol A Biol Sci Med Sci       Date:  2012-03-02       Impact factor: 6.053

4.  Move to improve: the feasibility of using an early mobility protocol to increase ambulation in the intensive and intermediate care settings.

Authors:  Anne Drolet; Patti DeJuilio; Sherri Harkless; Sherry Henricks; Elizabeth Kamin; Elizabeth A Leddy; Joanna M Lloyd; Carissa Waters; Sarah Williams
Journal:  Phys Ther       Date:  2012-09-13

5.  The Tension Between Promoting Mobility and Preventing Falls in the Hospital.

Authors:  Matthew E Growdon; Ronald I Shorr; Sharon K Inouye
Journal:  JAMA Intern Med       Date:  2017-06-01       Impact factor: 21.873

6.  Toward a Common Language for Measuring Patient Mobility in the Hospital: Reliability and Construct Validity of Interprofessional Mobility Measures.

Authors:  Erik H Hoyer; Daniel L Young; Lisa M Klein; Julie Kreif; Kara Shumock; Stephanie Hiser; Michael Friedman; Annette Lavezza; Alan Jette; Kitty S Chan; Dale M Needham
Journal:  Phys Ther       Date:  2018-02-01

7.  Barriers to mobility during hospitalization from the perspectives of older patients and their nurses and physicians.

Authors:  Cynthia J Brown; Beverly R Williams; Lesa L Woodby; Linda L Davis; Richard M Allman
Journal:  J Hosp Med       Date:  2007-09       Impact factor: 2.960

Review 8.  Unfinished nursing care, missed care, and implicitly rationed care: State of the science review.

Authors:  Terry L Jones; Patti Hamilton; Nicole Murry
Journal:  Int J Nurs Stud       Date:  2015-02-23       Impact factor: 5.837

9.  A randomised controlled trial evaluating a rehabilitation complex intervention for patients following intensive care discharge: the RECOVER study.

Authors:  Timothy Simon Walsh; Lisa G Salisbury; Julia Boyd; Pamela Ramsay; Judith Merriweather; Guro Huby; John Forbes; Janice Z Rattray; David M Griffith; Simon J Mackenzie; Alastair Hull; Steff Lewis; Gordon D Murray
Journal:  BMJ Open       Date:  2012-07-02       Impact factor: 2.692

10.  Mapping barriers and intervention activities to behaviour change theory for Mobilization of Vulnerable Elders in Ontario (MOVE ON), a multi-site implementation intervention in acute care hospitals.

Authors:  Julia E Moore; Alekhya Mascarenhas; Christine Marquez; Ummukulthum Almaawiy; Wai-Hin Chan; Jennifer D'Souza; Barbara Liu; Sharon E Straus
Journal:  Implement Sci       Date:  2014-10-30       Impact factor: 7.327

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