Date of Graduation
Fall 12-13-2024
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
Program
MSN project
First Advisor
Jennifer Zesati
Abstract
Objective: Decreased patient mobilization is associated with poor patient recovery and increased hospital costs. Complications include decreased functional capacity, pressure injuries, deep vein thrombosis, and infections. Aim: The Bedside Mobility Assessment Tool (BMAT) is a mobility assessment tool designed to help healthcare providers safely mobilize patients (Boynton et al., 2020). In a 244-bed California hospital, preliminary data from three medical-surgical units indicate an average daily patient census of 23.7 of which only 31.3% were assessed using the BMAT. This quality improvement intervention aims to increase compliance with the BMAT by 10%. Interventions: Over a six-week period, staff received education during change of shift huddles about the proper usage of the BMAT, its importance, and the hospital's expectations. Methods: Preliminary data was collected over a four-day observational period using the electronic health record (EHR) to assess documentation rates, along with a staff knowledge survey. Following the intervention, data was collected using the same methods over a 15-day period to evaluate changes. Results: The initial knowledge survey indicated 89% of respondents were aware of BMAT documentation frequency, but there were notable gaps related to understanding the BMAT scoring system. Post-intervention data, with an average daily patient census of 23.6, displayed a decrease in documentation compliance from 31.3% to 24.4%. Conclusion: Despite educational interventions, documentation compliance decreased. Without a specific policy or an EHR mandate for BMAT documentation, it is expected that compliance rates will remain low. To improve compliance, Hospital A should establish a formal BMAT policy and make the assessment part of mandatory documentation.
Recommended Citation
Sayed, Khaterah, "Integrating the Bedside Mobility Assessment Tool (BMAT): Increasing Compliance with Assessments and Charting in Medical Surgical Units" (2024). Master's Projects and Capstones. 1823.
https://repository.usfca.edu/capstone/1823
