Nurse Driven Early Mobility in the Intensive Care Unit: Mobility Protocol and a Designated Mobility Champion

Decreased mobility in hospitalized patients can lead to various health consequences, including increased morbidity and mortality. In the Intensive Care Unit (ICU), patients are not mobilized as frequently or as often as possible. Barriers to mobilization include limited resources such as time and staffing, perceived risk, and insufficient training in safe patient handling. This quality improvement initiative aimed to increase out-of-bed mobility in ICU patients, address activity orders at interdisciplinary rounds, and trial a designated mobility champion. The America Association of Critical-Care Nurses (AACN) Early Progressive Mobility (EPM) protocol and Bedside Mobility Assessment Tool (BMAT) were adopted and used to discuss patients’ mobility during interdisciplinary rounds. During these rounds, a mobility champion who received additional training from physical therapy in safe patient handling attended these rounds. The mobility champion then coordinated with nursing staff and other care team members throughout the day to mobilize patients. Increased numbers of patients with COVID-19 did not fit the eligibility criteria during the implementation period, and increased mobility was not seen. However, the ICU team members felt the interventions, especially the use of a mobility champion, were beneficial and decided to extend the new practice for continuing review. The mobility champion is now utilized on all inpatient units. All inpatient units have seen an increase in patients mobilized. Nurse-driven early mobility tools are safe and feasible and give nurses greater autonomy in planning mobility interventions. The use of a dedicated mobility champion compliments these tools and helps reduce barriers to early mobilization.https://scholar.rochesterregional.org/nursingresearchday/1019/thumbnail.jp

The LaGuardia - Red Hook Caregiver

Vol. II, No. 3; This document was produced as a result of a training and development project for staff in the social services system through a contractual agreement between the New York State Department of Social Services and the Research Foundation of the City University of New York on behalf of La Guardia Community College. No date, library receipt, 13 September 1979

Study on day care : report and recommendations

xx, 121 p. ; 28 cm

Summary of proceedings from the launch symposium, discussion, and proposed action plan for the England Centre for Practice Development’s international community of practice for end of life care

This paper provides a summary of summary of proceedings from the launch symposium, discussion, and proposed action plan for the England Centre for Practice Development’s International Community of Practice for End of Life Care held at The Spitfire Cricket Ground, Canterbury, on the 7th October 2016. It has been disseminated for discussion by members of the international community of practice and more widely for discussion and comment. The action plan and priorities in the document were co-created by attendees at the event including the President of The European Association of Palliative Care and several other international experts in end of life care

The LaGuardia - Red Hook Caregiver

This newsletter marks the beginning of a long awaited formal affiliation between the Red Hook Family Day Care Training Center and LaGuardia Community College. First issue. No date, library receipt, 18 May 1978

The effects of violence and aggression from parents on child protection workers' personal, family and professional lives

Creative Commons CC-BY: This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).This article presents findings from a survey of the experiences of child protection workers in England when working with parents who exhibit aggression and violence. This work explores the effects on workers in their professional lives, and on themselves and their families in their private lives. The article examines workers’ thoughts and experiences about the effects of parental hostility on workers’ ability to protect children. The article also details workers’ experiences of the nature and effectiveness of training and support in this area. These findings are then examined in the light of the results of an analysis of the literature, including the findings from serious case review (SCR) reports in England (official inquiries into the causes of child deaths where the children are known to social and health services). The majority of the 590 respondents in the survey were social workers (n = 402; 68%), reflecting the fact that case management of child protection cases in the United Kingdom is the responsibility of social workers working in statutory agencies. This article addresses, from a consideration of the secondary analysis and the original research findings from the survey, how individual workers, managers, and agencies can best understand and then respond effectively to aggressive parental behaviors.Peer reviewe

<原著>地域リハビリテーションと在宅ケアシステムの関連性

過疎と高齢化が進行する慶應義塾大学月ヶ瀬リハビリテーションセンター近隣の3自治体に対し在宅高齢障害者の生活自立を支援する目的として, 昭和59-63年より慶應義塾大学月ヶ瀬リハビリテーションセンターが地域自治体と連携して始めた, 地域リハビリテーション教室, 訪問リハビリテーションなど地域リハビリテーション支援活動に関する実績と効果について検討した。その結果, 支援対象者の把握や選定方法, 家庭訪問の優先順位などに明確な基準がないことや提供されるサービスに過不足などがあるなどシステムの未整備に伴うと考えられる問題が存在していることが明らかになった。これらの問題を解決し, 過疎地における在宅支援サービスを効率的に行うためには, 地域で提供できうる全てのサービス・社会資源を把握し, それらを必要とする在宅障害者を的確に選択し資源配分するなどリハビリテーション医学の見地にたった情報ネットワークの形成など効率的な在宅ケア支援システムの確立が重要である。We surveyed the results and effects of community rehabilitation support activities, such as a community rehabilitation school and a home rehabilitation survice. These activities began between 1984 and 1988 through collaborative efforts between the Tsukigase Rehabilitation Center and local communities in order to facilitate the self-reliance of disabled elderly people staying at home in three communities located near the Rehabilitation Center in which depopulation and aging are rapidly progressing. We found that the support system lacks clear criteria for surveying and selecting those in need of support, and for determining who has priority for receiving the home rehabilitation service. It was also found that there were abundances and hortages of the services provided, revealing the presence of problems hich were thought toderive from a lack of organization in the support system. In order to solve these problems and effectively provide home support service in these communities, it is of utmost importance to establish an effective home support system based on rehabilitation medicine. such as an information network system. This kind of a system will help us determine all the services and social resources available in certain communities, select those in need of support, and distribute the services effectively.国立情報学研究所で電子