As nursing continues to develop as a professional discipline, it is important for nurses to have a central question to guide their research. Since the 1800s, nursing practice and research have covered a wide scope in cooperation with other disciplines. This wide area of nursing practice and research has led to the proposal that the central question be: How can the well‐being of a person, family, community, or population be improved? The proposed question must remain flexible and open to revision because nurses will continue to adapt to the changing needs of their patients and populations and to their complex and evolving work environments.
This article provides an analysis of the concepts of movement and mobility within the context of the International Classification of Functioning, Disability, and Health (ICF) for patients' functioning, disability, and health. The methodology developed by Walker and Avant was used to clarify definitions, components, and relationships relevant to the 2 concepts and to the elements of the ICF framework. Definitions and the relationship between concepts are key information that clinicians and researchers need to measure the correct concept when they are assessing the effectiveness of interventions in nursing practice. Concept analysis findings are grounded by the notion that movement occurs when the body causes its own displacement and is explained by the basic principles of physics, human anatomy, and physiology. Mobility is then distinct because it is affected by the environment that the individual is in and can be assisted by any type of mobility aid. Mobility does not need to be generated by the individual's muscles but does need to be controlled by the individual who is mobile. An individual's mobility in his or her environment is important to his or her well-being and needs to be understood in relationship to his or her movements.
Introduction:The concepts of movement and mobility are distinct concepts that are often conflated, and the differences are important to patient care. Movement is a change in the place or position of a part of the body or of the whole body. Mobility is derived from movement and is defined as the ability to move with ease. Researchers and clinicians, including nurses, physiotherapists, and occupational therapists who work with adults and in rehabilitation, need to be confident that they are measuring the outcome of interest.Inclusion criteria: This scoping review considered studies that included participants who are adults, aged 19 and older, with any level of ability or disability. The concepts of interest were tools that measured movement or mobility relative to the human body. Studies were considered regardless of country of origin, health care setting, or sociocultural setting.Methods: CINAHL, Health and Psychosocial Instruments, MEDLINE, and Embase were searched in June 2018 and OpenGrey, Dissertation Abstracts International, and Google Scholar were searched in November 2018. The searches were limited to articles in English, and the date range was from the inception of the database to the current date. Data were extracted from the studies using a custom data extraction tool. Once tools were identified for analysis, they were coded using the table format developed by Cieza and colleagues.Results: There were 702 unique tools identified, with 651 of them available to be coded for the ICF. There were 385 ICF codes used when coding the tools. From these codes, the percentage of codes of the defining attributes of movement and mobility that were covered could be calculated, as well as the percentage of tool items that were linked to the antecedents, consequences, or defining attributes of movement or mobility.Conclusions: Although there are many tools that measure only movement or mobility, there are many that measure a mixture of the defining attributes as well as the antecedents and consequences. The tool name alone should not be considered a guarantee of the concept measured, and tool selection should be done with a critical eye. This study provides a starting point from which clinicians and researchers can find tools that measure the concepts of movement and mobility of interest and importance to their patient population.
Review question: The first objective of this scoping review is to identify all tools designed to measure movement or mobility in adults. The second objective is to compare the tools to the conceptual definitions of movement and mobility by mapping them against the International Classification of Functioning, Disability and Health (ICF). The specific questions that will be answered for each tool by the mapping are:
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