Outcomes of inpatient mobilization: a literature review

Aims and objectives To review current research evidence on the outcomes of mobilising hospitalised adults. Background Although immobility is known to cause functional decline or complications, inpatient ambulation emerged as the most often missed element of nursing care. This study is designed to re...

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Vydáno v:Journal of clinical nursing Ročník 23; číslo 11-12; s. 1486 - 1501
Hlavní autoři: Kalisch, Beatrice J, Lee, Soohee, Dabney, Beverly W
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Blackwell Publishing Ltd 01.06.2014
Wiley Subscription Services, Inc
Témata:
Adult
ambulation
Clinical outcomes
Early Ambulation
early mobilisation
Female
hospitalisation
Humans
Inpatient care
Inpatients
Literature reviews
Male
Middle Aged
mobilisation
mobility
Nursing care
Postoperative Complications - etiology
Postoperative Complications - nursing
Postoperative Complications - prevention & control
Sample size
Surgical Procedures, Operative - adverse effects
mobility
inpatients
ambulation
early ambulation
mobilisation
early mobilisation
hospitalisation
ISSN:0962-1067, 1365-2702, 1365-2702
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Shrnutí:Aims and objectives To review current research evidence on the outcomes of mobilising hospitalised adults. Background Although immobility is known to cause functional decline or complications, inpatient ambulation emerged as the most often missed element of nursing care. This study is designed to review research studies that give evidence as to the consequences of mobilising or not mobilising hospitalised adult patients. Design A literature review of published peer‐reviewed empirical research was undertaken. Methods The electronic databases of MEDLINE (Ovid), CINAHL, and PubMed were accessed to search for relevant empirical articles, supplemented by a search of reference lists contained in retrieved articles and citation tracking. Results Thirty‐six studies were identified for inclusion in the review. Four areas (study design, sample size, measurement and statistical analysis) were evaluated for methodological quality, and most studies showed strong quality. A synthesis of the findings generated four themes of the effects of inpatient mobilisation: (1) physical outcomes included pain, deep vein thrombosis, fatigue, etc.; (2) psychological outcomes included anxiety, depressive mood, distress, comfort and satisfaction; (3) social outcomes included quality of life and independence; and (4) organisational outcomes included length of stay, mortality and cost. Conclusion Mobilising hospitalised adults brings benefits for not only physical functioning, but also their emotional and social well‐being. Moreover, ambulation yields important organisational benefits. These benefits of mobilisation on four areas required viewing the patient in a holistic manner. Even though each study approached different types of patients, illnesses and procedures, this review showed that most inpatients would benefit from mobilisation and would experience optimal functions. Relevance to clinical practice The importance of mobilisation for positive patient outcomes highlights the need to develop methods to ensure that this nursing action is completed on a systematic basis.
Bibliografie:ark:/67375/WNG-X6JTDXS6-8
ArticleID:JOCN12315
istex:CC4A4F4AC1A3EB15DE9CB1E917EB23157F85F651
ObjectType-Article-1
SourceType-Scholarly Journals-1
content type line 14
ObjectType-Literature Review-2
ObjectType-Feature-2
ObjectType-Review-3
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ObjectType-Article-2
ObjectType-Feature-1
ObjectType-Literature Review-3
ISSN:0962-1067
1365-2702
1365-2702
DOI:10.1111/jocn.12315