Capturing patient mobility levels in the hospital: An examination of nursing charting and behavioural mapping

IF 3.2 3区 医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2024-07-09 DOI:10.1111/jocn.17360
Eric Stewart PT, DPT, Loannis Collector BS, Lisa Aronson Friedman Sc.M, Maddie Gares MBA, BSN, RN, Karli Funk PT, DPT, MS, Caitlin Gopie PT, DPT, Lydia Vincent PT, DPT, Daniel L. Young PT, DPT, PhD, Erik H. Hoyer MD
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引用次数: 0

Abstract

Aims

Our study aimed to (1) validate the accuracy of nursing mobility documentation and (2) identify the most effective timings for behavioural mapping.

Design

We monitored the mobility of 55 inpatients using behavioural mapping throughout a nursing day shift, comparing the observed mobility levels with the nursing charting in the electronic health record during the same period.

Results

Our results showed a high level of agreement between nursing records and observed mobility, with improved accuracy observed particularly when documentation was at 12 PM or later. Behavioural mapping observations revealed that the most effective timeframe to observe the highest levels of patient mobility was between 10 AM AND 2 PM.

Conclusion

To truly understand patient mobility, comparing nursing charting with methods like behavioural mapping is beneficial. This comparison helps evaluate how well nursing records reflect actual patient mobility and offers insights into the best times for charting to capture peak mobility. While behavioural mapping is a valuable tool for auditing patient mobility, its high resource demands limit its regular use. Thus, determining the most effective times and durations for observations is key for practical implementation in hospital mobility audits.

Implication for the Profession and/or Patient Care

Nurses are pivotal in ensuring patient mobility in hospitals, an essential element of quality care. Their role involves safely mobilizing patients and accurately charting their mobility levels during each shift. For nursing practice, this research underscores that nurse charting can accurately reflect patient mobility, and highlights that recording the patient's highest level of mobility later in the shift offers a more precise representation of their actual mobility.

Reporting Method

Strobe.

Patient or Public Contribution

No Patient or Public Contribution.

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捕捉医院中患者的移动水平:对护理图表和行为图谱的研究。
目的:我们的研究旨在:(1)验证护理人员移动记录的准确性;(2)确定最有效的行为映射时间:设计:我们在一个护理日班中使用行为测绘法监测了 55 名住院患者的活动能力,并将观察到的活动能力水平与同期电子健康记录中的护理记录进行了比较:结果表明,护理记录与观察到的移动情况高度一致,尤其是在下午 12 点或更晚记录时,准确性有所提高。行为映射观察显示,观察到患者移动性最高的最有效时间段是上午 10 点到下午 2 点之间:要真正了解病人的流动性,将护理病历与行为图谱等方法进行比较是有益的。这种比较有助于评估护理记录在多大程度上反映了患者的实际流动性,并为记录图表捕捉高峰流动性的最佳时间提供见解。虽然行为映射法是审核患者流动性的重要工具,但其对资源的高要求限制了它的常规使用。因此,确定最有效的观察时间和持续时间是在医院流动性审核中实际应用的关键:护士在确保医院患者移动能力方面发挥着关键作用,这是优质护理的一个重要因素。她们的职责包括在每个班次中安全地移动患者并准确记录患者的移动能力水平。对于护理实践而言,这项研究强调护士的图表可以准确地反映出病人的活动能力,并强调记录病人在轮班后期的最高活动能力水平可以更准确地反映出他们的实际活动能力:患者或公众贡献:无患者或公众贡献。
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
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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