@article{863afaf5405e4a3e935c12a675289cca,
title = "Towards improving hospital workflows: An evaluation of resources to mobilize patients",
abstract = "Aim: To characterize resources to safely mobilize different types of hospitalized patients. Background: Current approaches to determine nurse–patient ratios do not always include information regarding the specific demands of patients who require extra resources to mobilize. Workflows must be designed with knowledge of resource requirements to integrate patient mobility into the daily nursing team care plan. Methods: Nurse-led mobility sessions were evaluated on two adult hospital units, which consisted of nurse–patient encounters focused on patient mobility only. The resources assessed for each session were time-to-mobilize patient, time-to-document, need for additional staff support, and the need for assistive devices. Mobility sessions were also categorized by patient ambulation status, level of mobility limitations (low, medium and high) and diagnosis. Results: In 212 total mobility sessions, the median time-to-mobilize and time-to-document were 7.75 and 1.27 min, respectively. Additional staff support was required for 87% and 92% of patients with medium and high mobility limitations, respectively. All patients with low mobility limitations ambulated, and only 14% required additional staff. Ambulating patients with high mobility limitations was the most time-intensive (median 12.55 min). Ambulating stroke patients required one additional staff and an assistive device in 92% and 69% of the sessions, respectively. Conclusion: This study describes the resources associated with mobilizing inpatients with different levels of mobility impairments and diagnoses. Implications for Nursing Management: These results could assist nursing management with facilitating appropriate daily nurse–patient ratios and justify the need for assistive devices and staff support to safely mobilize patients.",
keywords = "exercise, functional status, health resources, mobility limitation, mobilization",
author = "Pottenger, {Brent C.} and Pronovost, {Peter J} and Julie Kreif and Lisa Klein and Deborah Hobson and Daniel Young and Hoyer, {Erik H.}",
note = "Funding Information: Tenise Shakes, MSN, RN, CNRN for her administrative support for conducting the study. Angie Feurer, MSN, RN for her administrative support for conducting the study. Christine B. Holzmueller, BLA for her review of the organization of content and editing of the manuscript. Disclosures: Dr. Pronovost reports receiving grant or contract support from the Agency for Healthcare Research and Quality, the Gordon and Betty Moore Foundation (research related to patient safety and quality of care), honoraria from various health care organizations for speaking on patient safety and quality (the Leigh Bureau manages these engagements); and book royalties from the Penguin Group for his book Safe Patients, Smart Hospitals. Dr. Young reports receiving grant support from the Foundation for Physical Therapy's Center of Excellence in Physical Therapy Health Services and Health Policy Research and Training Grant. None of the other authors report any competing interests (financial or otherwise) relative to the content of this manuscript. There was no funding for this work. (Pottenger, Kreif, Klein, Hobson, Hoyer). Funding Information: Disclosures: Dr. Pronovost reports receiving grant or contract support from the Agency for Healthcare Research and Quality, the Gordon and Betty Moore Foundation (research related to patient safety and quality of care), honoraria from various health care organizations for speaking on patient safety and quality (the Leigh Bureau manages these engagements); and book royalties from the Penguin Group for his book Safe Patients, Smart Hospitals. Dr. Young reports receiving grant support from the Foundation for Physical Therapy{\textquoteright}s Center of Excellence in Physical Therapy Health Services and Health Policy Research and Training Grant. None of the other authors report any competing interests (financial or otherwise) relative to the content of this manuscript. There was no funding for this work. (Pottenger, Kreif, Klein, Hobson, Hoyer). Publisher Copyright: {\textcopyright} 2018 John Wiley & Sons Ltd",
year = "2019",
month = jan,
doi = "10.1111/jonm.12644",
language = "English (US)",
volume = "27",
pages = "27--34",
journal = "Journal of nursing management",
issn = "0966-0429",
publisher = "Wiley-Blackwell",
number = "1",
}