约翰斯·霍普金斯活动与移动促进计划：提高住院患者活动和移动能力的框架。
The Johns Hopkins Activity and Mobility Promotion Program: A Framework to Increase Activity and Mobility Among Hospitalized Patients.
机构信息
Johns Hopkins School of Medicine, Baltimore, Maryland (Drs McLaughlin, Hoyer, Kudchadkar, and Schechter, Mr Friedman, and Mss Daley and Lavezza); Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland (Dr Flanagan and Ms Klein); and School of Physical Therapy, University of Nevada Las Vegas, Las Vegas (Dr Young).
出版信息
J Nurs Care Qual. 2023;38(2):164-170. doi: 10.1097/NCQ.0000000000000678. Epub 2022 Dec 3.
BACKGROUND
Greater mobility and activity among hospitalized patients has been linked to key outcomes, including decreased length of stay, increased odds of home discharge, and fewer hospital-acquired morbidities. Systematic approaches to increasing patient mobility and activity are needed to improve patient outcomes during and following hospitalization.
PROBLEM
While studies have found the Johns Hopkins Activity and Mobility Promotion (JH-AMP) program improves patient mobility and associated outcomes, program details and implementation methods are not published.
APPROACH
JH-AMP is a systematic approach that includes 8 steps, described in this article: (1) organizational prioritization; (2) systematic measurement and daily mobility goal; (3) barrier mitigation; (4) local interdisciplinary roles; (5) sustainable education and training; (6) workflow integration; (7) data feedback; and (8) promotion and awareness.
CONCLUSIONS
Hospitals and health care systems can use this information to guide implementation of JH-AMP at their institutions.
背景
住院患者的活动能力增强与关键结果相关，包括住院时间缩短、出院回家的可能性增加以及医院获得性疾病减少。需要采用系统的方法来增加患者的活动能力，以改善患者在住院期间和出院后的预后。
问题
虽然有研究发现约翰霍普金斯活动和移动促进（JH-AMP）计划可以提高患者的移动能力和相关结果，但该计划的细节和实施方法并未公布。
方法
JH-AMP 是一种系统方法，包括本文所述的 8 个步骤：（1）组织优先级排序；（2）系统测量和每日移动目标；（3）缓解障碍；（4）当地跨学科角色；（5）可持续教育和培训；（6）工作流程整合；（7）数据反馈；以及（8）推广和意识。
结论
医院和医疗保健系统可以利用这些信息来指导其机构实施 JH-AMP。
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