Hospital-Induced Immobility

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

596 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-04-01

Study Completion Date

2021-12-31

Brief Summary

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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

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Detailed Description

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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.

Conditions

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In-hospital Mobility Geriatric Immobilization

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Geriatric ward

Interventions are: Patients' self-reported level of mealtime mobilisation, observations of the patients' mobilisation level and environment at mealtimes, focus group interviews with health care professionals at the wards, survey on mobilisation awareness among the nursing staff, a Mobilisation Initiative, and formal education for all nursing staff

A Mobilisation Initiative

Intervention Type BEHAVIORAL

The Mobilisation Initiative consists of physiotherapists assisting nursing staff in mobilising patients to sit in a chair for breakfast and lunch. This intervention follows the interventions of focus group interviews, formal education, observations of patients and the environment, and awareness of mobilisation survey

Focus Group Interviews

Intervention Type BEHAVIORAL

Focus group interviews using a semi-structured interview guide are conducted with health care professionals at the wards to explore the acceptability and demand for the contents of the Mobilisation Initiative, including the identification of facilitators and barriers to mobilisation

Formal Education

Intervention Type BEHAVIORAL

Formal education for all nursing staff employed at the two wards includes information on the consequences of immobilisation, with the purpose of enhancing confidence, competencies, and awareness of mobilisation

Self-reported Level of Mobilisation

Intervention Type BEHAVIORAL

Patient's self-reported mealtime mobilisation level reported through interview-based surveys, including structured follow-up questions

Observations of Patients and the Environment

Intervention Type BEHAVIORAL

During breakfast and lunch, the mobilisation status of all patients in the wards is observed using an observation checklist

Awareness of Mobilisation Survey

Intervention Type BEHAVIORAL

To assess the nursing staff's awareness of and confidence in the mobilisation of the patients, a short survey on mobilisation awareness is distributed to the nursing staff at both wards

Medical ward

Interventions are: Patients' self-reported level of mealtime mobilisation, observations of the patients' mobilisation level and environment at mealtimes, focus group interviews with health care professionals at the wards, survey on mobilisation awareness among the nursing staff, a Mobilisation Initiative, and formal education for all nursing staff

A Mobilisation Initiative

Intervention Type BEHAVIORAL

The Mobilisation Initiative consists of physiotherapists assisting nursing staff in mobilising patients to sit in a chair for breakfast and lunch. This intervention follows the interventions of focus group interviews, formal education, observations of patients and the environment, and awareness of mobilisation survey

Focus Group Interviews

Intervention Type BEHAVIORAL

Focus group interviews using a semi-structured interview guide are conducted with health care professionals at the wards to explore the acceptability and demand for the contents of the Mobilisation Initiative, including the identification of facilitators and barriers to mobilisation

Formal Education

Intervention Type BEHAVIORAL

Formal education for all nursing staff employed at the two wards includes information on the consequences of immobilisation, with the purpose of enhancing confidence, competencies, and awareness of mobilisation

Self-reported Level of Mobilisation

Intervention Type BEHAVIORAL

Patient's self-reported mealtime mobilisation level reported through interview-based surveys, including structured follow-up questions

Observations of Patients and the Environment

Intervention Type BEHAVIORAL

During breakfast and lunch, the mobilisation status of all patients in the wards is observed using an observation checklist

Awareness of Mobilisation Survey

Intervention Type BEHAVIORAL

To assess the nursing staff's awareness of and confidence in the mobilisation of the patients, a short survey on mobilisation awareness is distributed to the nursing staff at both wards

Interventions

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A Mobilisation Initiative

The Mobilisation Initiative consists of physiotherapists assisting nursing staff in mobilising patients to sit in a chair for breakfast and lunch. This intervention follows the interventions of focus group interviews, formal education, observations of patients and the environment, and awareness of mobilisation survey

Intervention Type BEHAVIORAL

Focus Group Interviews

Focus group interviews using a semi-structured interview guide are conducted with health care professionals at the wards to explore the acceptability and demand for the contents of the Mobilisation Initiative, including the identification of facilitators and barriers to mobilisation

Intervention Type BEHAVIORAL

Formal Education

Formal education for all nursing staff employed at the two wards includes information on the consequences of immobilisation, with the purpose of enhancing confidence, competencies, and awareness of mobilisation

Intervention Type BEHAVIORAL

Self-reported Level of Mobilisation

Patient's self-reported mealtime mobilisation level reported through interview-based surveys, including structured follow-up questions

Intervention Type BEHAVIORAL

Observations of Patients and the Environment

During breakfast and lunch, the mobilisation status of all patients in the wards is observed using an observation checklist

Intervention Type BEHAVIORAL

Awareness of Mobilisation Survey

To assess the nursing staff's awareness of and confidence in the mobilisation of the patients, a short survey on mobilisation awareness is distributed to the nursing staff at both wards

Intervention Type BEHAVIORAL

Eligibility Criteria

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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

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No