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Pubmed for Handhelds

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  • Title: Increasing patient mobility through an individualized goal-centered hospital mobility program: A quasi-experimental quality improvement project.
    Author: Klein LM, Young D, Feng D, Lavezza A, Hiser S, Daley KN, Hoyer EH.
    Journal: Nurs Outlook; 2018; 66(3):254-262. PubMed ID: 29705382.
    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.
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