Implementing Systematic Assessment of Physical Function in Hospitalised Medical Patients: Description and Evaluation Guided By the Quality Implementation Framework.
Rationale: Although older adults comprise 16%–22% of the population, they account for up to 75% of hospital admissions and nearly half of related costs. Frailty, multimorbidity and reduced physical function are common, requiring assessment and follow‐up. Systematic assessment of physical function us...
| Publicado en: | Journal of Evaluation in Clinical Practice Vol. 32; no. 3; pp. 1 - 15 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193257435&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193257435 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561294 EV1 jtl: Journal of Evaluation in Clinical Practice issn: 13561294 maglogo: Y pubinfo: dt: Apr2026 vid: 32 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 193257435 193257435 193257435 10.1111/jep.70447 193257435 ppf: 1 ppct: 14 formats: tig: atl: Implementing Systematic Assessment of Physical Function in Hospitalised Medical Patients: Description and Evaluation Guided By the Quality Implementation Framework. aug: au: Kristensen, Helene Nørgaard Bloch‐Nielsen, Jannie Rhod Kristensen, Morten Tange Høgh, Helle Hannibal, Loui Schmidt, Anne Mette affil: Medical Diagnostic Centre, University Clinic for Innovative Patient Pathways, Regional Hospital Central Jutland, Silkeborg, Denmark sug: subj: Functional Assessment Inpatients Psychosocial Factors Quality Improvement Program Implementation Program Evaluation Hospitalization Human Denmark Female Male Prospective Studies Quantitative Studies Qualitative Studies Scales Clinical Assessment Tools Grip Strength Electronic Health Records Implementation Science Needs Assessment Interviews Physical Therapists Occupational Therapists Physical Mobility Physical Performance Questionnaires Thematic Analysis Data Analysis Software Descriptive Statistics Female Male ab: Rationale: Although older adults comprise 16%–22% of the population, they account for up to 75% of hospital admissions and nearly half of related costs. Frailty, multimorbidity and reduced physical function are common, requiring assessment and follow‐up. Systematic assessment of physical function using the Cumulated Ambulation Score (CAS), 30‐second sit‐to‐stand test (30s‐STS), and handgrip strength (HGS) has shown predictive value for outcomes such as length of hospital stay, complications, readmission and survival in hospitalised older patients. This underscores the importance of early intervention in rehabilitation. The successful integration of evidence‐based practices necessitates the use of an evidence‐based implementation model, such as the Quality Implementation Framework (QIF), which clearly outlines what to address and which actions to take to secure the quality of the implementation process and patient outcomes in the clinical setting. Aims and Objectives: This study aims to describe and evaluate the implementation process of systematic assessment of physical function in hospitalised medical patients using QIF. Method: A prospective implementation study, incorporating both quantitative and qualitative methods, was conducted at two medical wards in a Danish hospital. QIF was employed to guide the implementation and the evaluation of the systematic assessment. Results: Implementation of the systematic assessment showed that early stakeholder engagement and leadership support ensured ownership and staff buy‐in. A structured implementation plan clarified roles and accountability. Process evaluation revealed high penetration and acceptability, with improved fidelity over time. Workflow challenges remained, and adoption into daily practice among therapists was limited due to time constraints and documentation burden. Expansion to new departments demonstrated scalability. Conclusion: A structured QIF‐based approach to implementing systematic assessments in hospitalised medical patients proved feasible, acceptable, and potentially scalable. Stakeholder engagement, management support and strengthened cross‐sector collaboration were key to success. Sustainability depends on workflow integration, timely data‐driven feedback and continued training. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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