Implementation of the UMove Mobility Program to Promote Safe Patient Mobility and Reduce Falls in the Hospital Setting.

IF 1.1 4区 医学 Q3 NURSING
Research in Gerontological Nursing Pub Date : 2024-01-01 Epub Date: 2023-10-20 DOI:10.3928/19404921-20231013-01
Chris L Wells, Barbara Resnick, Rachel McPherson, Katherine Frampton
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引用次数: 0

Abstract

The purpose of the current quality improvement (QI) project was to implement the UMove Early Mobility Program to engage patients in safe out of bed (OOB) activities and reduce falls, specifically focusing on toileting-related falls, during the hospital stay. Eight nursing units implemented the UMove program, including the UMove Mobility Screen (UMove MS), to select strategies to reduce toileting-related falls while increasing mobility. De-identified, unit-based data were collected from hospital reports. Nursing had a 95% documentation compliance rate for the UMove MS, and OOB activities and ambulation were documented at 50% and 57%, respectively. There was no statistical difference found in reducing toileting-related falls or sustaining increased OOB activities across the 15-month QI project. Toileting-related falls approached significance with a rate reduction from 1.77 pre-implementation to 0.23 at 6 months and no toileting-related falls at 12 months. Despite no significant findings, there is evidence that clinical changes occurred with nurses assessing and promoting mobility, while implementing strategies to reduce toileting-related falls. [Research in Gerontological Nursing, 17(1), 19-29.].

实施UMove流动计划,以促进患者安全流动并减少医院环境中的跌倒。
当前质量改进(QI)项目的目的是实施UMove早期行动计划,让患者参与安全的下床活动,减少住院期间的跌倒,特别是与如厕相关的跌倒。八个护理单位实施了UMove计划,包括UMove移动性筛查(UMove-MS),以选择策略,在增加移动性的同时减少与如厕相关的跌倒。从医院报告中收集了未识别的、基于单位的数据。UMove-MS的护理记录符合率为95%,OOB活动和行走记录分别为50%和57%。在为期15个月的QI项目中,在减少与如厕相关的跌倒或维持OOB活动增加方面没有发现统计差异。与如厕相关的跌倒接近显著性,发病率从实施前的1.77下降到6个月时的0.23,12个月时没有与如厕有关的跌倒。尽管没有重大发现,但有证据表明,护士在实施减少如厕相关跌倒的策略时,评估和促进了行动能力,从而发生了临床变化。【老年护理研究,xx(x),xx xx.】。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.30
自引率
6.20%
发文量
44
审稿时长
>12 weeks
期刊介绍: Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.
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