Date of Graduation

Summer 8-9-2024

Document Access

Restricted Project/Capstone - USF access only

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

Abstract

Abstract

Problem: According to the Occupational Safety and Health Organization (OSHA), it was concluded that musculoskeletal disorders made up more than 50 percent of workplace injuries and illnesses in 2020. The microsystem results showed a negative impact on staff experience, lack of confidence in the use of patient mobility equipment.

Context: A 240-bed unit with four medical/surgical floors, two ICUs, two progressive/step-down units, and one stroke unit.

Interventions: A bedside mobility assessment tool (BMAT) was introduced to the unit and nurses were educated on using mobility equipment to safely mobilize their patients earlier and more frequently. Unit rounding was done with moderate- and maximum-assist machinery at various dates and times.

Measures: Anonymous pre- and post-surveys were used to identify nurses’ confidence in getting patients out of bed. Training sign-ins were recorded to measure unit compliance rates.

Results: After implementation, 33.3% of nurses said they were more likely/very likely to mobilize their patients prior to a physical therapy evaluation from 22.2% in pre-implementation. In contrast, 44.4% of nurses were comfortable/very comfortable getting their patients up from bed from 66.7 % in pre-implementation.

Conclusions: The surveys did show an increase in comfortability of mobilizing patients after BMAT and equipment utilization. The equipment training compliance rates were low, but comfortability scores were higher.

Keywords: BMAT, bedside mobility tool, early mobilization, and inpatient mobility.

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