Nurse-Led Mobility Program
Nurse-Led Mobility Program
复制标题
护士主导的流动计划
DOI：
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复制
发表时间：
2020
影响因子：
1.2
通讯作者：
M. Lopez
中科院分区：
文献类型：
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作者：
Renata A. Jones;S. Merkle;L. Ruvalcaba;Pippin Ashton;Casey Bailey;M. Lopez
补充数字内容可在正文中找到。背景：住院的内外科患者由于行动不便而面临不良健康后果的风险。尽管后果有据可查，但流动性低的现象仍然普遍存在。当地的问题：在一家有547个床位的医院里，内科手术患者的动员频率低于预期。对于患者的常规活动，22%的时间被不适当地咨询了物理治疗师。实施前对注册护士的调查表明，缺乏安全动员患者的知识和信心。方法：该质量改进项目实施了护士主导的活动计划，以努力增加早期活动，减少常规活动的物理治疗转介，并减少活动不能的后遗症。干预：在5个内外科病房实施床边活动能力评估工具和标准化干预。结果：实施后，护士引导的患者动员增加了40%，不适当的物理治疗顺序减少了14%，患者跌倒或压力性损伤的情况没有明显变化。结论：护士主导的活动计划在增加患者安全、早期活动和改善活动文化方面是有效的。
Supplemental Digital Content is Available in the Text. Background: Hospitalized medical-surgical patients are at risk for adverse health outcomes due to immobility. Despite well-documented consequences, low mobility is prevalent. Local Problem: In a 547-bed hospital, medical-surgical patients were mobilized less frequently than expected. Physical therapists were inappropriately consulted 22% of the time for routine mobility of patients. A preimplementation survey of registered nurses indicated a lack of knowledge and confidence to safely mobilize patients. Methods: This quality improvement project implemented a nurse-led mobility program in an effort to increase early mobilization, reduce physical therapy referrals for routine mobility, and reduce the sequelae of immobility. Interventions: The Bedside Mobility Assessment Tool and standardized interventions were implemented on 5 medical-surgical units. Results: Postimplementation, nurse-led patient mobilizations increased by 40%, inappropriate physical therapy orders decreased 14%, and no significant change in patient falls or pressure injuries was noted. Conclusion: A nurse-led mobility program was effective in increasing safe, early mobilization of patients and improving the culture of mobility.
不动并跌倒。
DOI：
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发表时间：
1998
期刊：
Clinics in geriatric medicine.
影响因子：
--
作者：
Mahoney,JE
通讯作者：
Mahoney,JE