1. Directions: Construct a problem statement based on the sentence below – approx 250 words (must have two references within 7 years)
It is not known if the implementation of a nurse-driven early mobility protocol using the Johns Hopkins’ Activity and Promotion toolkit compared to current practice impacts mobility status among adult patients admitted to a long-term acute care hospital.
Directions: Construct a purpose statement based on the sentence below- approx 250 words ( must have two in-cite references within 7 years).
The purpose of this quality improvement project is to determine if the implementation of the Johns Hopkins’ Activity and Promotion toolkit implementing a nurse-driven early mobility protocol would impact mobility status among adult patients admitted to a long-term acute care hospital. The project is to be piloted over an eight-week period in a 52-bed urban long-term acute care hospital in Virginia.
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Introduction:
As a medical professor, I am responsible for designing assignments that challenge and engage my students in real-world medical scenarios. In this particular assignment, students are required to construct a problem statement and a purpose statement based on a given sentence. The aim is to test their ability to identify research gaps and design a study to address those gaps.
1. Problem Statement:
Patient mobility is a critical aspect of healthcare, and early mobility can improve patient outcomes. However, the impact of nurse-driven early mobility protocols using the Johns Hopkins’ Activity and Promotion toolkit on mobility status among adult patients admitted to a long-term acute care hospital is not clear. There is a need to investigate whether the implementation of such protocols can lead to improved mobility among these patients.
References:
1. Brown CJ, Redden DT, Flood KL, Allman RM. The underrecognized epidemic of low mobility during hospitalization of older adults. J Am Geriatr Soc. 2009;57(9):1660-1665. doi:10.1111/j.1532-5415.2009.02393.x
2. Frazee EN, Motiwala A, Zhang J, et al. Frailty and outcomes in hospitalized older adults with acute kidney injury. BMC Nephrol. 2018;19(1):327. doi: 10.1186/s12882-018-1104-z
2. Purpose Statement:
The purpose of this quality improvement project is to determine the impact of the Johns Hopkins’ Activity and Promotion toolkit implementing a nurse-driven early mobility protocol on mobility status among adult patients admitted to a long-term acute care hospital. The study aims to investigate whether the implementation of such protocols can lead to improved mobility for the patients. The project will be piloted over an eight-week period in a 52-bed urban long-term acute care hospital in Virginia.
In-Cite References:
1. Connolly B, Salisbury L, O’Neill B, et al. Exercise rehabilitation following intensive care unit discharge for recovery from critical illness. Cochrane Database Syst Rev. 2015;(6):CD008632. doi: 10.1002/14651858.CD008632.pub2
2. Stawicki SP, Howard JM, Pryor JP, Bahner DP, Whitmill ML. Assisting with early mobility in the adult ICU: barriers and solutions in overcoming the ambulation plateau. Open Access Emerg Med. 2011;3:29-37. doi: 10.2147/OAEM.S19602
