Prior to the expansion of MOVE, several key lessons learned have emerged.

Engage unit leaders

  • Patient Care Manager, Educators, Advanced Practice Nurses, PT
  • Acknowledge other achievements the unit is proud of and promote how the mobility initiative would fit within their achievements (i.e. a unit started to use a transfer of accountability patient safety checklist and added mobility levels to promote the initiative)

Actively listen to feedback and communicate with staff and leaders

  • Often staff will have concerns about:
    • Staffing and shortages
    • Equipment shortages
    • Ceiling lift challenges (i.e.: short supply of lift pads)
    • Appropriate chairs for each patient bed

Support Embedding Mobility into unit processes

  • Attend bullet rounds
  • Encourage the language of mobility and mobility plans on patient communication boards
  • Discuss mobility levels at shift report/transfer of accountability

Be Flexible

  • Find ways to fit coaching, teaching, and support to staff into their busy schedules
  • If a meeting is scheduled, expect delays and last-minute cancellations due to the unpredictable schedules of staff

Be part of the team

  • Understand and empathize with challenges they have with launching the initiative
  • Be aware of team dynamics and interprofessional relationships
  • Learn staff names schedules (meeting times, huddles, rounds, newsletters, interprofessional meetings)

Involve patients and families

  • Utilize patient education tools to minimize the risk of “enforced dependence” – the belief that patients need to be “looked after” during their stay
  • Encourage patients to participate in activities of daily living to the best of their ability on a daily basis
  • Write mobility/care plans on patient care boards in room if available

Encourage Sustainability

  • Identify and engage mobility leaders to support new staff and returning staff
  • Encourage ongoing updates and discussions about mobility and how the initiative is proceeding/sustaining at unit meetings/bullet rounds, etc.
  • Engage the patient care manager, leaders

Documentation

  • Support documentation in charts (e.g., Kardex)
  • Audit charts on a regular basis to see that mobility is being captured in documentation
  • Market the concept: staff should be able to open the chart and know exactly what the patient did in terms of mobility

Expect setbacks

  • Once the initiative is complete, compliance may decrease
  • Encourage mobility leaders and Patient Care Managers to promote sustainability by embedding chart audits into unit routines to capture/discuss mobility on a regular basis (Kardex, patient boards, etc.)

Printer-Friendly Resources

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General Tips and Lessons Learned54.50 KB
Tips on Supporting Interprofessional Collaboration50.00 KB