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

Program

MSN project

First Advisor

Jennifer Zesati

Abstract

Objective: Immobility among hospitalized patients is linked to serious complications, including muscle deconditioning, increased risk of falls, and functional decline, particularly in older adults (Boynton et al., 2020). Early mobility interventions can help mitigate these risks and improve patient outcomes (Gabele et al., 2023). Context: The Bedside Mobility Assessment Tool (BMAT 2.0) is a standardized tool designed to assess patient mobility and guide safe mobilization practices. In two medical-surgical units (endocrine and stroke) of a 200+ bed general acute care hospital in Northern California, only 31.4% of staff reported being knowledgeable about BMAT 2.0. This quality improvement project aimed to increase BMAT 2.0 knowledge among Registered Nurses (RNs) and Certified Nursing Assistants (CNAs) by 20% at Hospital A, reaching a target of 51.4% by April 22, 2025. Interventions: A two-week in-service training was conducted, offered four times weekly across both day and night shifts. Training included case-based scenarios requiring participants to identify appropriate BMAT levels and corresponding equipment and education on the purpose, application, and documentation of BMAT 2.0. Methods: Pre- and post-intervention surveys assessed staff knowledge, confidence, and equipment familiarity. Results were compared to determine the effectiveness of the intervention. Results: Knowledgeable staff increased from 31.4% to 56.6%, while those reporting high knowledge rose from 5.9% to 17.1%. Confidence in identifying BMAT levels improved by 28% (from 43.1% to 71.1%), and familiarity with equipment locations increased from 56.9% to 92.1%, a 35.2% gain. Conclusion: The BMAT 2.0 in-service training at Hospital A significantly improved staff knowledge, confidence, and competency in mobility assessment practices. Future efforts will include integrating BMAT education into new hire orientation, auditing compliance, and advocating for EHR improvements and hospital-wide adoption.

Download

Share

COinS