Physical Activity, Prevention of Functional Decline and Support of Mobility in Older Hospitalized Patients: A Literature Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/603048
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Physical Activity, Prevention of Functional Decline and Support of Mobility in Older Hospitalized Patients: A Literature Review
Other Titles:
Supporting Family Health Through Evidence [Session]
Author(s):
Schneider, Iris Tamara; Meyer, Gabriele; Meyer, Gabriele
Lead Author STTI Affiliation:
Nu Chi
Author Details:
Iris Tamara Schneider, MSc (Nsg), RN, irisschneider@onlinehome.de; Gabriele Meyer, RN
Abstract:
Session presented on Monday, November 9, 2015: Purpose Physical activity is the basis for participation and social life. Older hospitalized patients are prone to decline of physical activity and functional status. Mobilization and activation of older patients are mandatory in order to avoid loss of independence and admission to residential care. As first step of an own empirical study, this literature study aims to overview the current state of knowledge about mobility in older patients in acute hospitals. We reviewed papers on nurses’ knowledge, risk assessments, and interventions on prevention of functional decline and sustaining of mobility. Methods A systematic literature search in PubMed, CINAHL and Cochrane has been conducted using MeSH terms and keywords. All study designs were included. Publication period was limited to the last 35 years; English and German language papers were included. A hand search in three German nursing journals and citation tracking were conducted. A search for guidelines is ongoing. Data were charted and extracted with a standardized extraction sheet by one reviewer. Results The search revealed 211 studies after title screening. Duplicates were removed and 187 abstracts were screened. A total of 36 full-text articles were assessed for eligibility, and 15 articles were excluded. The remaining 21 papers reported about research conducted in the United States, Australia and four European countries. The qualitative studies (n=7) used a phenomenological approach or grounded theory dealing with changes in mobility in older patients, barriers in ambulation of patients reported by nurses, and assistance in ADLs and care dependency reported by patients and nurses. Observational studies (n=11) reported on risk assessments, preventive measures, and on frequency and duration of mobilizing. The RCT (n=1) included in this review dealt with promoting mobility. The reviews (n=2) outlined positive outcomes of promoting mobility through interdisciplinary interventions. Conclusion Our review revealed that little research has been conducted during the last decades in the field of mobility in older patients in acute hospitals. The identified papers and own experience suggest insufficient mobility offers and a lot of potential for improvement in order to enhance and preserve older patients’ mobility in the acute hospital environment. Therefore, in a next step, mobility patterns during nursing situations will be observed in two German acute hospitals. We aim to generate a better theoretical understanding and to explore the need for intervention development.
Keywords:
hospitalized older adults; mobility; functional decline
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15F08
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titlePhysical Activity, Prevention of Functional Decline and Support of Mobility in Older Hospitalized Patients: A Literature Reviewen
dc.title.alternativeSupporting Family Health Through Evidence [Session]en
dc.contributor.authorSchneider, Iris Tamaraen
dc.contributor.authorMeyer, Gabrieleen
dc.contributor.authorMeyer, Gabrieleen
dc.contributor.departmentNu Chien
dc.author.detailsIris Tamara Schneider, MSc (Nsg), RN, irisschneider@onlinehome.de; Gabriele Meyer, RNen
dc.identifier.urihttp://hdl.handle.net/10755/603048en
dc.description.abstractSession presented on Monday, November 9, 2015: Purpose Physical activity is the basis for participation and social life. Older hospitalized patients are prone to decline of physical activity and functional status. Mobilization and activation of older patients are mandatory in order to avoid loss of independence and admission to residential care. As first step of an own empirical study, this literature study aims to overview the current state of knowledge about mobility in older patients in acute hospitals. We reviewed papers on nurses’ knowledge, risk assessments, and interventions on prevention of functional decline and sustaining of mobility. Methods A systematic literature search in PubMed, CINAHL and Cochrane has been conducted using MeSH terms and keywords. All study designs were included. Publication period was limited to the last 35 years; English and German language papers were included. A hand search in three German nursing journals and citation tracking were conducted. A search for guidelines is ongoing. Data were charted and extracted with a standardized extraction sheet by one reviewer. Results The search revealed 211 studies after title screening. Duplicates were removed and 187 abstracts were screened. A total of 36 full-text articles were assessed for eligibility, and 15 articles were excluded. The remaining 21 papers reported about research conducted in the United States, Australia and four European countries. The qualitative studies (n=7) used a phenomenological approach or grounded theory dealing with changes in mobility in older patients, barriers in ambulation of patients reported by nurses, and assistance in ADLs and care dependency reported by patients and nurses. Observational studies (n=11) reported on risk assessments, preventive measures, and on frequency and duration of mobilizing. The RCT (n=1) included in this review dealt with promoting mobility. The reviews (n=2) outlined positive outcomes of promoting mobility through interdisciplinary interventions. Conclusion Our review revealed that little research has been conducted during the last decades in the field of mobility in older patients in acute hospitals. The identified papers and own experience suggest insufficient mobility offers and a lot of potential for improvement in order to enhance and preserve older patients’ mobility in the acute hospital environment. Therefore, in a next step, mobility patterns during nursing situations will be observed in two German acute hospitals. We aim to generate a better theoretical understanding and to explore the need for intervention development.en
dc.subjecthospitalized older adultsen
dc.subjectmobilityen
dc.subjectfunctional declineen
dc.date.available2016-03-21T16:42:13Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:42:13Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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