Year: 2025
Type: article
Abstract: Purpose/Rationale: Early patient-mobility programs (EPMPs) have been recognized for improving patient outcomes and decreasing use of hospital resources.The purpose of an EPMP is to promote early mobilization and decrease adverse outcomes for patients.Adverse outcomes associated with prolonged immobility include prolonged length of stay (LOS), hospital-acquired pressure injuries (HAPIs), and falls. Synthesis of Evidence:A literature search was conducted in the CINAHL, PubMed, and Google databases using the following terms: early patient mobility, patient mobility programs, and telemetry units.Articles published between 2018 and 2023 were included.Research suggests low mobility is prevalent in the hospitalized adult population and places patients at high risk for adverse health outcomes.An increasing amount of evidence shows that early mobilization is a safe and cost-effective initiative for decreasing adverse outcomes.Practice Change: The EPMP setting was a single 22-bed telemetry unit in New Jersey.The Bedside Mobility Assessment Tool (BMAT) was used to assess patient mobility levels and determine which patients were appropriate for the EPMP.The BMAT defines 4 levels of mobility, each assessing the patient's ability to perform a physical task.Patients with a BMAT score of 3 or greater were selected for our EPMP.Implementation Strategies: Starting in August 2023, the nurse leader reviewed the patient's charts.A magnet in the image of a walking shoe was placed by the room number of EB2: Bundled HAPI Prevention: Evidence-Based Solutions for the Critical Care SettingJenna Vledder, Isabella Shattenkirk, Chelsea Weaks, Diana Ellis, Catherine Knapp; Sentara Heart Hospital, Norfolk, Virginia Purpose/Rationale: The Sentara Norfolk General Hospital cardiac intensive care unit (ICU) had 24 health careacquired pressure injuries (HAPIs) in 2023, contributing
Source: Critical Care Nurse
DOI: 10.4037/ccn2025791
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4409045237