A unit-based, multi-center evaluation of adopting mobility measures and daily mobility goals in the hospital setting

Erik H Hoyer; Michael Friedman; Annette Lavezza; Eleni Flanagan; Sowmya Kumble; Michelle D'Alessandro; Morning Gutierrez; Elizabeth Colantuoni; Daniel J Brotman; Daniel L Young

doi:10.1016/j.apnr.2022.151655

A unit-based, multi-center evaluation of adopting mobility measures and daily mobility goals in the hospital setting

Appl Nurs Res. 2023 Apr:70:151655. doi: 10.1016/j.apnr.2022.151655. Epub 2022 Dec 17.

Authors

Affiliations

¹ 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. Electronic address: ehoyer1@jhmi.edu.
² Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
³ Department of Nursing, The Johns Hopkins Hospital, Baltimore, MD, USA.
⁴ Department of Nursing, The Johns Hopkins Bayview Medical Campus, Baltimore, MD, USA.
⁵ Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
⁶ Division of General Internal Medicine, Johns Hopkins University, Baltimore, MD, USA.
⁷ Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Physical Therapy, University of Nevada Las Vegas, Las Vegas, NV, USA.

PMID: 36933900
DOI: 10.1016/j.apnr.2022.151655

Abstract

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.

Keywords: Goals; Hospital; Mobility; Mobility limitation; Patients; Quality improvement.

MeSH terms

Goals*
Hospitals
Humans
Inpatients
Mobility Limitation*
Walking