The Johns Hopkins Activity and Mobility Promotion Program: A Framework to Increase Activity and Mobility Among Hospitalized Patients.

J Nurs Care Qual

Johns Hopkins School of Medicine, Baltimore, Maryland (Drs McLaughlin, Hoyer, Kudchadkar, and Schechter, Mr Friedman, and Mss Daley and Lavezza); Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland (Dr Flanagan and Ms Klein); and School of Physical Therapy, University of Nevada Las Vegas, Las Vegas (Dr Young).

Published: February 2023

Background: Greater mobility and activity among hospitalized patients has been linked to key outcomes, including decreased length of stay, increased odds of home discharge, and fewer hospital-acquired morbidities. Systematic approaches to increasing patient mobility and activity are needed to improve patient outcomes during and following hospitalization.

Problem: While studies have found the Johns Hopkins Activity and Mobility Promotion (JH-AMP) program improves patient mobility and associated outcomes, program details and implementation methods are not published.

Approach: JH-AMP is a systematic approach that includes 8 steps, described in this article: (1) organizational prioritization; (2) systematic measurement and daily mobility goal; (3) barrier mitigation; (4) local interdisciplinary roles; (5) sustainable education and training; (6) workflow integration; (7) data feedback; and (8) promotion and awareness.

Conclusions: Hospitals and health care systems can use this information to guide implementation of JH-AMP at their institutions.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9944180PMC
http://dx.doi.org/10.1097/NCQ.0000000000000678DOI Listing

Publication Analysis

Top Keywords

activity mobility
12
johns hopkins
8
hopkins activity
8
mobility promotion
8
hospitalized patients
8
mobility activity
8
patient mobility
8
mobility
7
activity
5
promotion program
4

Similar Publications

Alterations in Response Switching in Parkinson's Disease: New Insights Into Cueing.

J Geriatr Psychiatry Neurol

December 2024

Laboratory for Early Markers of Neurodegeneration (LEMON), Center for the Study of Movement, Cognition, and Mobility (CMCM), Tel Aviv Sourasky Medical Center, Neurological Institute, Tel Aviv, Israel.

Switching, a critical executive function, can manifest as task switching (TS) or response switching (RS). Although TS impairments in Parkinson's disease (PD) are well-studied, RS, especially in contexts requiring adaptive behavior to external or internal cues, is less explored. This study evaluated the impact of PD on RS under exogenous and endogenous cueing.

View Article and Find Full Text PDF

Background And Purpose: A preventative model of physical therapy (PT) care to promote activity and minimize mobility loss with aging is not routine. Performance testing and patient education are recommended to increase the perceived value of results to inform health decision-making. This study evaluated (1) the Single Leg Stance (SLS) test for an annual visit based on a priori criteria and (2) the effect of education on the perceived value of SLS and walking speed test results as health indicators.

View Article and Find Full Text PDF

Background And Purpose: Motivational interviewing, an evidence-based person-centered counseling style, may help to facilitate increased mobility and physical activity after hip fracture. We explored contextual factors influencing the outcome, mechanism, and implementation of motivational interviewing after hip fracture.

Methods: A qualitative study was completed using an interpretive description framework.

View Article and Find Full Text PDF

Conjugated polymers (CPs) with polar side chains can conduct electronic and ionic charges simultaneously, making them promising for bioelectronics, electrocatalysis and energy storage. Recent work showed that adding alkyl spacers between CP backbones and polar side chains improved electronic charge carrier mobility, reduced swelling and enhanced stability, without compromising ion transport. However, how alkyl spacers impact polymer backbone conformation and, subsequently, electronic properties remain unclear.

View Article and Find Full Text PDF

For the clarification of dynamics of photogenerated carriers in practical organic solar cell devices, we have developed a methodology to simultaneously acquire reflection-mode transient optical absorption (ΔA) and transient electric current (Δi) signals. For a typical polythiophene:fullerene bulk heterojunction solar cell device, both the ΔA and Δi signals due to the photogenerated carriers are characterized by the power-law decays of ∝t-α, which are interpreted by detrapping-limited recombination at earlier times than ∼1 μs and trap-free diffusion/drift at later times. Furthermore, we have succeeded in observing switching of the power index α for ΔA signals as well as for Δi signals; the time at which switching occurs indicates the extraction of carriers by electrodes (transit times).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!