Identifying Barriers to Mobilisation of Patients in the Queen

Elizabeth Hospital King’s Lynn

‘Increasing mobilisation of patients in my care

will be more work…’

Introduction Results and Discussion Conclusion and Next Steps

Barriers by Categories
3.0

2.5 2.60 2.56

Top 5 Barriers to Mobilisation of Inpatients in the Queen 2.0
1.68
Elizabeth Hospital King's Lynn 1.5
3.0 3.1 3.1 3.2 3.2 3.3 3.3 3.4 3.4
1.0

14. INCREASING MOBILISATION OF PATIENTS IN MY CARE WILL BE 0.5

3.36
MORE WORK FOR HCA'S
0.0
ATTITUDES BEHAVIOURS KNOWLEDGE
9. NURSE-TO-PATIENT STAFFING IS ADEQUATE TO MOBILISE
3.32
PATIENTS ON MY UNIT(S)/WARD(S)

12. INCREASING MOBILISATION OF PATIENTS IN MY CARE WILL BE

3.20
MORE WORK FOR NURSES

Methodology 15. INCREASING MOBILISATION OF PATIENTS IN MY CARE WILL BE

3.19 Reference list
MORE WORK FOR NURSING ASSOCIATES

20. MY PATIENTS ARE RESISTANT TO BEING MOBILISED 3.15

Top 5 Barriers to Mobilisation of Inpatients in the Queen

Unless there is a contraindication, my patients are
Elizabeth Hospital King's Lynn – breakdown by perceived
mobilised at least once daily by Nurses
importance
0 5 10 15 20 25 30 35 40 45
3.58
9
21 2.54
14. INCREASING MOBILISATION OF PATIENTS IN MY CARE 14
WILL BE MORE WORK FOR HCA'S 30
22
3.4
9
18 NURSE THERAPY
9. NURSE-TO-PATIENT STAFFING IS ADEQUATE TO MOBILISE 19
PATIENTS ON MY UNIT(S)/WARD(S) 33 small
17
3.3 moderate
11
The post op surgical patient has a plan made I feel that the culture in which staff
neutral
12. INCREASING MOBILISATION OF PATIENTS IN MY CARE 12
22
at pre-assessment but with medical and are used to working means that
39 high
WILL BE MORE WORK FOR NURSES
12 emergency patients this is not the case, and fewer patients are mobilised during
very high
Acknowledgements
3.2
10
this is where the focus on mobility should be a shift. The nature of the workplace
total
15. INCREASING MOBILISATION OF PATIENTS IN MY CARE 19
21
discussed where possible on admission. seems to be very task orientated and
33
WILL BE MORE WORK FOR NURSING ASSOCIATES
13 staff seem to be “too busy” and see
3.2
5
mobilising as an extra task to be
20. MY PATIENTS ARE RESISTANT TO BEING MOBILISED
20
31 As a therapist, I’m often told by the nursing done. I feel that it’s also seen as “not
36
4 staff and the HCA’s on the ward they have my problem” by some staff when
3.2
been told to not mobilise a patient until actually it’s the responsibility of all
OT/PT have seen the patient… staff to help the patients. There also
seems to be a culture of risk
In ED we make the pts immobile by putting adversity and that reduces the
them on trolleys and raising the sides.. number of patients who are
mobilised as staff feel they need
permission from a doctor / nurse /
HCAs not understanding that we can risk- OT / PT to be able to mobilise a
assess a patient’s mobility patient..