Date of Graduation

Spring 5-15-2025

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Department/Program

Public Health

Program

MSN project

First Advisor

Chelsea Reilley

Second Advisor

Bob Patterson

Third Advisor

Jennifer Zesati

Abstract

The objective of this Quality Improvement (QI) project was to increase patient ambulation rate and improve documentation compliance with Patient-reported Level of Function (PLOF) and Clinician-assessed Level of Function (CLOF) on cardiac units at a hospital in San Francisco. Literature highlights that early ambulation reduces hospital-acquired complications, length of stay, and functional decline, yet inconsistent mobility practices and documentation were identified as barriers within this microsystem. The aim of this project was to increase patient ambulation rates by 20% and achieve at least 80% of documentation compliance within four weeks. The interventions included the development and distribution of an educational flyer, in-service training, PLOF/CLOF reminders in daily shift huddles, and implementation of a mobility audit tool. Pre- and post-intervention surveys assessed nurse knowledge, and mobility audits measured documentation compliance and ambulation goal attainment. As a result, documentation compliance improved from 57% to 100% on unit A and from 67% to 90% on unit B. Patient mobility goal attainment rose from 71% to 74% on unit A and from 54% to 80% on unit B. Nurse knowledge survey scores also demonstrated significant improvement following training. In conclusion, structured education, clear documentation processes, and interdisciplinary collaboration successfully increased both mobility assessment compliance and early ambulation rates. The project demonstrates that practical, standardized interventions can meaningfully improve patient outcomes and practice consistency in a microsystem. Future efforts will focus on sustaining gains and expanding mobility initiatives hospital-wide.

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