基于单元的、多中心的评估，以在医院环境中采用活动能力测量和日常活动能力目标。
A unit-based, multi-center evaluation of adopting mobility measures and daily mobility goals in the hospital setting.
机构信息
Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Division of General Internal Medicine, Johns Hopkins University, Baltimore, MD, USA.
Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
出版信息
Appl Nurs Res. 2023 Apr;70:151655. doi: 10.1016/j.apnr.2022.151655. Epub 2022 Dec 17.
BACKGROUND
Promoting patient mobility helps improve patient outcomes, but mobility status is not widely tracked nor do patients have specific individualized mobility goals.
PURPOSE
We evaluated nursing adoption of mobility measures and daily mobility goal achievement using the Johns Hopkins Mobility Goal Calculator (JH-MGC), a tool to guide an individualized patient mobility goal based on the level of mobility capacity.
METHOD
Built on a translating research into practice framework, the Johns Hopkins Activity and Mobility Promotion (JH-AMP) program was the vehicle to promote use of the mobility measures and the JH-MGC. We evaluated a large-scale implementation effort of this program on 23 units across two medical centers.
FINDINGS
Units significantly improved documentation compliance to mobility measures and achieving daily mobility goals. Units with the highest documentation compliance rates had higher rates of daily mobility goal achievement, especially for longer distance ambulation goals.
DISCUSSION
The JH-AMP program improved adoption of mobility status tracking and higher nursing inpatient mobility levels.
背景
促进患者活动有助于改善患者的预后，但目前并未广泛监测患者的活动状态，且患者也没有具体的个体化活动目标。
目的
我们使用约翰霍普金斯活动和移动促进（JH-AMP）项目中的约翰霍普金斯移动目标计算器（JH-MGC）评估了护理人员对移动措施的采用情况和日常移动目标的实现情况，该工具可根据移动能力水平指导个体化的患者移动目标。
方法
基于转化研究实践框架，约翰霍普金斯活动和移动促进（JH-AMP）项目是促进使用移动措施和约翰霍普金斯移动目标计算器（JH-MGC）的载体。我们评估了该项目在两个医疗中心的 23 个单元的大规模实施情况。
发现
各单元在移动措施的文档记录合规性和实现日常移动目标方面有显著改善。文档记录合规率最高的单元具有更高的日常移动目标实现率，特别是在长距离行走目标方面。
讨论
JH-AMP 项目提高了移动状态跟踪的采用率和更高的护理住院患者移动水平。
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