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Recommended Citation
Milligan K, Kranseikaite D. Engaging nurses and patients in research to validate a mobility evaluation tool. Research podium presentation at Empowering Nursing Excellence: Recognizing the Value and Impact of Nurses, Advocate Health Midwest Region Nursing Research & Professional Development Conference 2023; November 15, 2023; virtual.
Presentation Notes
Research podium presentation at Empowering Nursing Excellence: Recognizing the Value and Impact of Nurses, Advocate Health Midwest Region Nursing Research & Professional Development Conference 2023; November 15, 2023; virtual.
Abstract
Background
Early and progressive mobility is needed to prevent physical decline in hospitalized adults. The Comprehensive Mobility Evaluation Tool (CMET) was developed with skill-based testing procedures to assess patient mobility status, predict level of assistance (LOA), and promote mobility. Research was needed to validate scoring and benefits of use.
Purpose
The study was aimed at validating CMET accuracy and reliability when used by nurses in acute care. An investigator-designed survey was used to gather patient insights about testing and mobility.
Methods
A prospective descriptive psychometric study design was used to test reliability, validate item significance, compare scoring with other tools, and evaluate ability to predict LOA when used by nurses. A randomly selected sample of decisional/English-speaking non-ventilated stable patients were enrolled from four med/surg and one critical care units at a Level 1 Trauma Center where CMET was used. Trained data collectors consented patients, completed bedside testing, and distributed surveys. Descriptive and inferential statistics were used with regression to test tool ability to predict LOA.
Results
The random sampling process yielded a representative patient sample (N=190), age averaging 67.3 yrs (SD=16.2, 23-101), 50% male, with a robust range of LOA. CMET scores predicted LOA ratings that were highly correlated with trained nurse judgement [r(184)=0.86, p
Conclusions/Implications
The study represents the initial validation confirming the reliability and benefits of a skill-based tool to evaluate patient mobility. The CMET helps nurses and patients to identify strengths and deficits and build confidence for mobilizing while hospitalized.
Document Type
Oral/Podium Presentation
Publication Date
11-15-2023
Engaging nurses and patients in research to validate a mobility evaluation tool
Background
Early and progressive mobility is needed to prevent physical decline in hospitalized adults. The Comprehensive Mobility Evaluation Tool (CMET) was developed with skill-based testing procedures to assess patient mobility status, predict level of assistance (LOA), and promote mobility. Research was needed to validate scoring and benefits of use.
Purpose
The study was aimed at validating CMET accuracy and reliability when used by nurses in acute care. An investigator-designed survey was used to gather patient insights about testing and mobility.
Methods
A prospective descriptive psychometric study design was used to test reliability, validate item significance, compare scoring with other tools, and evaluate ability to predict LOA when used by nurses. A randomly selected sample of decisional/English-speaking non-ventilated stable patients were enrolled from four med/surg and one critical care units at a Level 1 Trauma Center where CMET was used. Trained data collectors consented patients, completed bedside testing, and distributed surveys. Descriptive and inferential statistics were used with regression to test tool ability to predict LOA.
Results
The random sampling process yielded a representative patient sample (N=190), age averaging 67.3 yrs (SD=16.2, 23-101), 50% male, with a robust range of LOA. CMET scores predicted LOA ratings that were highly correlated with trained nurse judgement [r(184)=0.86, p
Conclusions/Implications
The study represents the initial validation confirming the reliability and benefits of a skill-based tool to evaluate patient mobility. The CMET helps nurses and patients to identify strengths and deficits and build confidence for mobilizing while hospitalized.
Affiliations
Advocate Good Samaritan Hospital