Implementing an Activity and Mobility Promotion Approach to Improve Patient Mobility.
Shweta Gore, Karen Mattie, Kara Schworm and 5 others
PMID 39972588WHAT IT FOUND
Hospital-wide mobility documentation and daily goals were feasible on 15 adult units, and observed mobility improved: more patients sat, stood, or walked, and fewer stayed in bed.
This is a quality-improvement report, not proof the program caused the change.
Key findings
01Hospital-wide implementation met its feasibility targets: mandatory education reached 70% by June 2022, and AM-PAC documentation reached 100% since August 2022.
02Postimplementation behavioral mapping showed a significant increase in patients scoring 4 or higher and a significant decrease in patients scoring 1.
03Focus groups found that the daily mobility goal was not easily visible, which led to missed JH-HLM documentation; mapping activities to the JH-HLM scale auto-populated the score.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs
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What it does not show
This was a single-site quality-improvement project with a before-after design, so the observed mobility change cannot be separated from other hospital changes. Behavioral mapping was done on only five units and only on weekdays from 8 am to 4 pm, so it may not represent nights, weekends, or all units. The paper does not state how many patients were observed, and the baseline and follow-up groups were different, so the mobility results are unit-level before-after data. Other hospital initiatives, including Enhanced Recovery After Surgery and Age-Friendly Health System work, were already happening and could have influenced mobility. Education completion and report availability were delayed, and report validation was not possible as planned because the EHR had to go online for everyone at once.
Declared interests
The authors disclosed no potential conflicts of interest.
The easy way to misread this
Do not conclude that this program caused the observed mobility increase. It was a single-site quality-improvement before-after report, with different patients observed at baseline and follow-up and no patient count reported.