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Barriers to early mobility of hospitalized general medicine patients: survey development and results.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hoyer, Erik H. Brotman, Daniel J. Chan, Kitty S. Needham, Dale M.
Description	Author Affiliation: Hoyer EH ( From the Department of Physical Medicine and Rehabilitation (EHH, DMN), Divisions of Pulmonary and Critical Care Medicine (DMN) and General Internal Medicine (DJB), and Bloomberg School of Public Health (KSC), Johns Hopkins University, Baltimore, Maryland.)
Abstract	OBJECTIVE: Functional status decline commonly accompanies hospitalization making patients vulnerable to complications. Such decline can be mitigated through hospital-based early mobility programs. Success in implementing patient mobility quality improvement processes requires evaluating providers' knowledge, attitudes, and behaviors. DESIGN: A cross-sectional, self-administered survey in two different hospital settings was completed by 120 nurses and physical and occupational therapists (rehabilitation therapists, 38; nurses, 82) from six general medicine units. The survey was developed using published guidelines, literature review, and provider meetings and refined through pilot testing. Psychometric properties were assessed, and regression analyses were conducted to examine barriers to early mobility by hospital site, provider discipline, and years of experience. RESULTS: Internal consistency reliability, item consistency, and discriminant validity psychometric characteristics were acceptable. In multivariable regression analysis, overall perceived barriers were similar between the two hospitals (P = 0.25) and significantly higher for staff with less experience (P = 0.02) and for nurses vs. rehabilitation therapists (P < 0.001).The survey identified specific barriers common to both nurses and rehabilitation therapists and other barriers that were discipline specific. CONCLUSIONS: This novel survey identified important barriers to mobilizing medical inpatients that were similar across two hospital settings. These results can assist with the implementation of quality improvement projects for increasing early hospital-based patient mobility.
File Format	HTM / HTML
ISSN	08949115
e-ISSN	15377385
DOI	10.1097/PHM.0000000000000185
Journal	American Journal of Physical Medicine & Rehabilitation
Issue Number	4
Volume Number	94
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2015-04-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Physical and Rehabilitation Medicine Early Ambulation Health Knowledge, Attitudes, Practice Attitude Of Health Personnel Cross-sectional Studies Health Care Surveys Multivariate Analysis Nursing Staff, Hospital Physical Therapists Quality Improvement
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation Sports Science

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