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Keywords

ambulation, evidence-based practice, mobility, mobility program, quality improvement

 

Authors

  1. Wood, Winnie MSN, RN, CNS
  2. Tschannen, Dana PhD, RN
  3. Trotsky, Alyssa DPT
  4. Grunawalt, Julie MS, RN, GCNS-BC
  5. Adams, Danyell CAN
  6. Chang, Robert MD, FHM
  7. Kendziora, Sandra BSN, RN
  8. Diccion-MacDonald, Stephanie MS, RN

Abstract

Overview: For many patients, hospitalization brings prolonged periods of bed rest, which are associated with such adverse health outcomes as increased length of stay, increased risk of falls, functional decline, and extended-care facility placement. Most studies of progressive or early mobility protocols designed to minimize these adverse effects have been geared toward specific patient populations and conducted by multidisciplinary teams in either ICUs or surgical units. Very few mobility programs have been developed for and implemented on acute care medical units. This evidence-based quality improvement project describes how a mobility program, devised for and put to use on a general medical unit in a large Midwestern academic health care system, improved patient outcomes.