Nursing contributions to mobilizing older adults following total hip replacement in Ireland

OSullivan, Mary Kilker; Savage, Eileen

doi:10.1016/j.joon.2008.07.004

Cited by 8 publications

(4 citation statements)

References 18 publications

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“…In addition, nurses who claimed patient ambulation as primarily a responsibility of nurses focused on maintaining patient independence and psychosocial well being. Focusing on patient psychosocial well being for progressing patient mobility was also found by O’ Suillivan and Savage (2008). Therefore, future research should address interventions to enhance nurses’ sense of responsibility for initiating patient ambulation and target improving patient psychosocial well being and independence as outcomes.…”

Section: Discussionmentioning

confidence: 88%

Attributing the responsibility for ambulating patients: A qualitative study

King

Bowers

2013

International Journal of Nursing Studies

102

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Background Functional decline has been identified as a leading negative outcome of hospitalization for older person. Functional decline is defined as a loss in ability to perform activities of daily living including a loss of independent ambulation. In the hospital literature, a patient’s loss in ability to independently ambulate during the hospital stay varies between 15 and 59%. Lack of ambulation and deconditioning effects of bed rest are one of the most predictable causes of loss of independent ambulation in hospitalized older persons. Nurses have been identified as the professional most capable of promoting walking independence in the hospital setting. However, nurses do not routinely walk patients. Objective The purpose of this study was to explore the relationship between nurses’ attributions of responsibility for ambulating hospitalized patients and their decisions about whether to ambulate. Methods A descriptive, secondary analysis of data gathered for a parent study was conducted. Grounded dimensional analysis was used to analyze the data. Participants consisted of 25 registered nurses employed on medical or surgical units from two urban hospitals in the United States. Results Nurses fell into two groups: those who claimed ambulation of patients within their responsibility of practice and those who attributed the responsibility to another discipline. Nurses who claimed responsibility for ambulation focused on patient independence and psychosocial well-being. This resulted in actions related to collaborating with physical therapy, determining the appropriateness of activity orders, diminishing the risk and adjusting to resource availability. Nurses who attributed the responsibility deferred decisions about initiating ambulation to either physical therapy or medicine. This resulted in actions related to waiting, which involved, waiting for physical therapy clearance, physician orders, risks to decrease, and resources to improve before ambulating. Conclusions Nurses who claimed responsibility for ambulating patients within their domain of practice described actions that promoted patient independent function and were more likely to get patient s up to ambulate.

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Section: Discussionmentioning

confidence: 88%

Attributing the responsibility for ambulating patients: A qualitative study

King

Bowers

2013

International Journal of Nursing Studies

102

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“…They consisted of one quantitative paper and six qualitative papers ranging in quality from P1/3/D to P2/8/I. Methods deployed ranged from one qualitative descriptive survey (O’Sullivan & Savage 2008), one grounded theory (Grant et al. 2009), one phenomenography (Olsson et al.…”

Section: Discussionmentioning

confidence: 99%

Adverse risk: a ‘dynamic interaction model of patient moving and handling’

Griffiths

2011

J Nurs Manag

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“…Peri‐operative assessments, education, pain management, ambulation and rehabilitation reportedly have had significant impacts on treatment effectiveness and patient satisfaction (Mauer et al . , Parsons & Sonnabend , O'Sullivan & Savage , Lubbeke et al . ).…”

Section: Total Hip Replacementmentioning

confidence: 99%