Hospital-Induced Immobility - A Backstage Story of Lack of Chairs, Time, and Assistance
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- In-hospital Mobility
- Sponsor
- Rigshospitalet, Denmark
- Enrollment
- 596
- Locations
- 1
- Primary Endpoint
- Change in patients mobilised at breakfast
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Inactivity and bedrest during hospitalisation have numerous negative consequences, and it is especially important that older patients are mobile during hospitalisation. In this study the investigators aimed to identify whether the introduction of formal education of clinical staff and a Mobilisation Initiative could increase mobilisation of patients in a geriatric and a medical ward. Furthermore, the investigators wanted to explore patients' and health care staffs' view on facilitators and barriers for mobilisation during hospitalisation
Detailed Description
Staying in bed and being inactive during hospitalisation can lead to a range of adverse consequences especially among older adults. The consequences include loss of muscle mass and strength leading to problems with loss of functional independence, risk of re-hospitalisation, and death. Moreover, older adults do not recover as well as younger adults with poor long-term recovery. The lack of in-hospital mobilisation is due to several factors including the hospital culture and organisational factors. Therefore, it is necessary to bring attention to this problem among the hospital staff. The aim of this study is to identify whether the introduction of formal education of clinical staff and a Mobilisation Initiative can increase the number of patients mobilised for breakfast and lunch among patients admitted to geriatric and medical wards. The activities planned in this study is self-reported level of mealtime mobilisation and observations of the patients, focus group interviews and survey on mobilisation awareness among the clinical staff, introduction of formal education and a Mobilisation Initiative. As hypothesized, this will result in an increased awareness of in-hospital mobilisation leading to an increase in the number of patients mobilised at mealtimes. Accordingly, expectations are that this will affect the activity level of the hospitalised patients and reduce adverse consequences leading to an increase in functional independence and reduce the number of readmissions resulting in a socioeconomic benefit.
Investigators
Jan Christensen
Senior researcher, Head of research
Rigshospitalet, Denmark
Eligibility Criteria
Inclusion Criteria
- •In-hospital patients in the geriatric and medical ward at Copenhagen University Hospital, Rigshospitalet
Exclusion Criteria
- •Patients declared moribund or delirious in the electronical medical journal
- •Patients isolated in the hospital room
- •Patients requiring interpreter for communication
Outcomes
Primary Outcomes
Change in patients mobilised at breakfast
Time Frame: One, two, three, four, five, and six months
Change in percentage of patients mobilised at breakfast t0-t1 Change in percentage of patients mobilised at breakfast t1-t2 Change in percentage of patients mobilised at breakfast t2-t3 Change in percentage of patients mobilised at breakfast t3-t4 Change in percentage of patients mobilised at breakfast t4-t5 Change in percentage of patients mobilised at breakfast t5-t6
Change in patients mobilised at lunch
Time Frame: One, two, three, four, five, and six months
Change in percentage of patients mobilised at lunch t0-t1 Change in percentage of patients mobilised at lunch t1-t2 Change in percentage of patients mobilised at lunch t2-t3 Change in percentage of patients mobilised at lunch t3-t4 Change in percentage of patients mobilised at lunch t4-t5 Change in percentage of patients mobilised at lunch t5-t6
Secondary Outcomes
- The Mobilisation Initiative(One and six months)
- Change in chairs present bedside at breakfast(Two, three, four, five, and six months)
- Formal Education(Four and five months)
- Change in chairs present bedside at lunch(Two, three, four, five, and six months)
- Awareness of mobilisation among the nursing staff(Two months and follow up at eight months)
- Self-reported level of mobilisation(One and six months)
- Focus Group Interviews(Two months)