Increasing patient mobility through an individualized goal-centered hospital mobility program: A quasi-experimental quality improvement project

Lisa M. Klein, Daniel Young, Du Feng, Annette Lavezza, Stephanie Hiser, Kelly N. Daley, Erik H. Hoyer

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)254-262
Number of pages9
JournalNursing outlook
Volume66
Issue number3
DOIs
StatePublished - May 1 2018

Keywords

  • Ambulate
  • Goals
  • Hospital
  • Mobility
  • Mobility limitation
  • Patients

ASJC Scopus subject areas

  • Nursing(all)

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