Progressive Mobility In Nursing

Progressive Mobility
Similarly to the previous article, In October 2015 an article by April Messer, Linda Comer, and Steve Forst, used an instructional teaching plan design similar to the Plan-Do-Study-Act model to implement a progressive mobilization program in a medical-surgical intensive care unit. They also wanted to evaluate the effect of education for a progressive mobilization program for intensive care nurses on knowledge and performance. A total of 45 nurses worked on the unit at the time of the educational sessions. Out of the 45 nurses 41 participated in the progressive mobility education. A random chart review was conducted for 3 weeks before and 3 weeks after the educational intervention. The objective of the education aspect of
In 2012, Kibler, V. A., Hayes, R. M., Johnson, D. E., Anderson, L. W., Just, S. L., & Wells, N. L. used a quality improvement design to increase ambulation and documentation in postoperative patients. This project was conducted at Vanderbilt University Medical Center. This hospital is a 918-bed academic medical center in Nashville, Tennessee. The intervention was implemented on four surgical units with a total of 60 beds. Evaluation data were obtained from patients with specific diagnosis-related groupings (DRGs) pertaining to colorectal and urologic surgeries, the predominant patient populations on the four intervention
A., Hayes, R. M., Johnson, D. E., Anderson, L. W., Just, S. L., & Wells, N. L. (2012) found some improvement on the intervention units. “The proportion of patients with documented ambulation increased from 62% before the intervention to 96% afterward, while documented ambulation on control units remained unchanged. In the post intervention period, the total documented distance ambulated on the intervention units also increased significantly, from 176 feet per patient day to 264 feet per patient day” (Kibler, V. A.,et al, 2012). It was also important to know that falls did not increase from the pre-intervention period to the post intervention period despite the increased in ambulation. This study was very easy to understand. It included some of the most common setbacks most nurses faced when it came to ambulating patients.
In a clinical guidance practice guideline written in the journal of orthopedic nursing, early ambulation is the most significant general nursing measure to prevent postoperative complications. This CPG was a “comprehensive, multidisciplinary team effort conducted as an observational, quality improvement project. Approval was reviewed and approved from the internal review board and a waiver of individual informed consent was obtained.”(Morris, B., Benetti, M., Marro, H., & Rosenthal, C., 2010). This literature provides step by step guidelines practitioners