UBC Theses and Dissertations
Nurse-led mobilization on acute-care medical units during the coronavirus pandemic Yan, Andrew
Background: Adult medical patients do not mobilize sufficiently during their hospitalization. The coronavirus pandemic has changed routine health care practices in the hospital. Care may be delayed for patients who have coronavirus or are suspected to have coronavirus. Early nurse-led mobilization is needed to prevent hospitalization-associated disability and promote mobility and function during their hospitalization. Purpose: The purpose of this study was to explore acute medicine nurses’ attitudes, subjective norms, and perceived facilitators and barriers of nurse-led mobilization during the coronavirus pandemic. This thesis also aimed to describe acute medicine nurses’ ability to carry out nurse-led mobilization and current nurse-led mobilization practices during the coronavirus pandemic. Methods: A cross-sectional, descriptive-correlational design was used to survey acute medicine nurses at eight hospitals in British Columbia. An instrument was adapted from the Patient Mobilization Attitudes and Beliefs Survey to collect data on acute medicine nurses’ attitudes, subjective norms, perceived behavioral controls, ability, and practices around nurse-led mobilization during the coronavirus pandemic. An exploratory factor analysis using principal components analysis was conducted to identify several components. Bivariate Pearson’s correlation coefficients, independent t-tests, several ANOVAs, and a standard multiple regression model were performed using the components from the exploratory factor analysis. Results: Nurses reported positive appraisals of patient mobilization and positive social norms to engage in nurse-led mobilization. The psychometric evaluation of the study instrument revealed a four-factor model explaining 48.97% of the variance and yielding the greatest theoretical clarity. The Cronbach’s alpha for the 21-item scale was .82. Independent t-tests and ANOVAs revealed statistically significant differences when comparing certain scores with the nurse’s role, hospital, and nursing experience. The four nurse characteristics explained 14.2% of the total score’s variance, with only nursing experience and hospital having a statistically significant unique contribution to the multiple regression model. Implications: The findings improved understanding of patient mobilization from the Canadian nursing perspective during the coronavirus pandemic. Before nurse-led mobilization programs are implemented, the nurses’ attitudes, subjective norms, perceived behavioral control, ability, and practices must be assessed. The current study provides a basis for survey development around patient mobilization and future patient mobilization research.
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