Tools to help narrow down a list of change strategies for your site

Set up a consultation session with unit leaders and staff

Review the MOVE interprofessional summary and documentation and communication modules with a group of patient care managers, advance practice nurses, and staff. Take questions about the key mobilization practices and seek input on how these might be feasibly implemented using a team approach.

Use a simple mobilization protocol for each unit

Consult your hospital’s mobility clinical practice standard or policy. If your hospital does not have one – see Sunnybrook Hospital’s Standard. Create a plan for how patients will be assessed upon admission and mobilized three times a day. Units may vary in their approach. Regardless of the approach, it will be important to emphasize teamwork, role clarity, and to designate one person on each shift as responsible for ensuring that mobility care plans are created and executed.

The Mobility Ax tool will help you to select a valid and reliable mobility assessment measure based on the types of mobility needs you want to measure on your units (e.g., walking, standing, and upper or lower body strength). Consult unit staff about the feasibility of using the measure before making a final decision. If units are already using a mobility measure – use what is already working.

Survey unit-level barriers and facilitators to mobilization

The Select, Tailor, Engage, Plan (STEP) tool will help you determine your unit’s top barriers and suggest change strategies that target those specific barriers. If you have any questions, please use the survey administration instructions below.

Compare the strengths and weaknesses of education strategies

Your list of change strategies from the STEP tool will likely include some educational components. This table comparison of each educational strategy may be helpful as you decide on a list of strategies to implement.