A systematic review of nursing contributions to mobility rehabilitation: examining the quality and content of the evidence.
Aims. This paper summarizes the results of a systematic literature review to examine the quality and content of the evidence relating to nursing approaches to improving the mobility and movement of older people. Background. Older people experiencing health breakdown often develop problems with movem...
| Published in: | Journal of Nursing & Healthcare of Chronic Illness Vol. 16; no. 3; pp. 325 - 341 |
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| Format: | research systematic review tables/charts Journal Article |
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Wiley-Blackwell
Nov2007 11c
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105876297&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105876297 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17529816 34UA jtl: Journal of Nursing & Healthcare of Chronic Illness issn: 17529816 maglogo: Y pubinfo: dt: Nov2007 11c vid: 16 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105876297 105876297 2009798322 NLM17931325 105876297 ppf: 325 ppct: 16 formats: fmt: @attributes: type: P tig: atl: A systematic review of nursing contributions to mobility rehabilitation: examining the quality and content of the evidence. aug: au: Kneafsey R affil: Lecturer, School of Nursing, University of Salford, Salford, UK. sug: subj: Gerontologic Nursing Immobility In Old Age Nursing Role Physical Mobility In Old Age Rehabilitation Nursing Rehabilitation, Geriatric Aged CINAHL Database Cochrane Library Exercise In Old Age Medline Patient Positioning Walking In Old Age Human Aged: 65+ years ab: Aims. This paper summarizes the results of a systematic literature review to examine the quality and content of the evidence relating to nursing approaches to improving the mobility and movement of older people. Background. Older people experiencing health breakdown often develop problems with movement and mobility and nurses play a role in helping patients to either adapt to or overcome these difficulties. Methods. Electronic searches were undertaken of Medline, CINAHL, Amed and Cochrane Database of systematic reviews. Papers about nursing approaches to promoting mobility and movement were critically appraised using quality assessment checklists. Papers addressing safe moving and handling, falls prevention, health promotion, rehabilitation or teamworking in general were excluded. Results. Sixteen research and 33 informational papers were included and comprise the review. Many research papers used weak designs and small sample sizes, limiting their ability to control for important confounding variables. Although numerous studies examined effectiveness, only one used a randomised controlled trial design. Papers were grouped into four interlinked sets. These were promoting mobility and preventing immobility; walking and exercise; neuro-developmental principles; and rehabilitation patient handling. Conclusions. Specific foci for nursing assessment and interventions to promote patients' mobility have been identified. However, the fragmented nature of the evidence makes it difficult to make recommendations for nursing practice. Future research should be conducted by multi-professional research teams to identify the most effective approaches to promoting patients' mobility and to explore overlaps between different members of the rehabilitation team. Relevance to clinical practice. Regaining the ability to move and walk is often a key concern for patients who have suffered health breakdown. Although nurses provide patients with assistance the evidence available does little to direct nurses as to the best approach towards mobility rehabilitation. It is important that nurses play a role in measuring the efficacy of different interventions to promote rehabilitation. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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