多站点护士主导的活动计划评估。

Evaluation of a Multisite Nurse-Led Mobility Plan.

机构信息

Author Affiliations: Executive Director of Oncology (Mr Workman), Baptist Health Lexington Cancer Center; Research Consultant, Nursing and Allied Health Research Office (Dr Davies); Director of Rehabilitation Services (Dr Ogle); Professional Development Specialist, Education and Development Department (Ms Arthur); and Executive Director, Administrative Services (Ms Tussey), Baptist Health Lexington, Kentucky.

出版信息

J Nurs Adm. 2020 Dec;50(12):649-654. doi: 10.1097/NNA.0000000000000953.

DOI:10.1097/NNA.0000000000000953

PMID:33181525

Abstract

OBJECTIVE

The aim of this study was to examine the effect of nurses' mobility plan use on patients' length of stay, discharge destination, falls, physical therapy consults, and nurses' knowledge, attitudes, and beliefs regarding patient mobility.

BACKGROUND

Functional decline due to decreased mobility during hospitalization results in diminished quality of life. Sixty-five percent of older inpatients lose the ability to ambulate during hospitalization and 30% do not regain that capability.

METHODS

Using a quasi-experimental design, nurses' use of a mobility assessment on 4 patient outcome variables was examined before (n = 2,259) and after (n = 3,649) use. Nurses' attitudes, knowledge, and beliefs regarding mobility were also examined.

RESULTS

Positive changes in patient variables occurred. Limited change occurred relative to nurses' knowledge, attitudes, and beliefs.

CONCLUSIONS

Implementing a nurse-led mobility plan enhances therapy resource utilization through identification of appropriate consults and improves patients' discharge home. In addition, nurses' knowledge, attitudes, and beliefs toward patient mobility planning can be positively influenced.

摘要