Nurse-Led Function Focused Care (FFC) model: Engaging Nurses in Maximizing Patient’s Mobility To Achieve Therapy Goals in Acute and Subacute ward Tan Tock Seng Hospital
Care Process & Redesign
Workforce Transformation
National Healthcare Group Quality Improvement
National Healthcare Group
31 December 2017
To increase mobilization dosage and measure the impact on functional scores, subsequently measuring sustainability in. Results from both the sub-acute and acute settings demonstrated that the Nurse-Led Function Focused Care model significantly improved.
Year Submitted: 2017
Published Date: 31 December 2017
Tags: Care Process ＆ Redesign, Workforce Transformation, Quality Improvement, Clinical Practice Improvement, Workflow Redesign, Value Based Care, Functional Outcome, Job Redesign, Upskilling, Workforce Sustainability
About this Content
Aims
To increase mobilization dosage and measure the impact on functional scores, subsequently measuring sustainability in sub-acute wards and the feasibility of the model in acute settings
Background
Functional deconditioning is a common result of prolonged bed rest in hospitals. This project engaged nurses in increasing patient mobilization beyond physiotherapy sessions, which improved functional outcomes.
Methods
Using the Functional Resonance Analysis Method (FRAM), the project involved engaging nurses in the mobilization process, using a communication board for therapists to recommend mobility exercises for patients.
Results
1,091 mobility episodes recorded for 38 patients, 86.5% by nurses. Significant improvements in the Modified Barthel Index (MBI) and Modified Elderly Mobility Scale (MEMs). Patient surveys showed increased satisfaction and confidence in daily activities.
Conclusion
Results from both the sub-acute and acute settings demonstrated that the Nurse-Led Function Focused Care model significantly improved patient mobility and satisfaction without additional costs.
Lessons Learnt
Inter-professional collaboration is essential for achieving better outcomes. Clear communication between team members helps achieve a common goal.
Keywords
Healthcare Improvement, Nurse-Led Care, Patient Mobilization, Clinical Collaboration
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | National Healthcare Group Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing |
Applicable Specialty or Discipline | Physiotherapy, Rehabilitation Therapy, Occupational Therapy |
Project Lead(s) | Liew Siew Ping |
Project Member(s) |
Connect with this contributor!
Liew Siew Ping - Siew_Ping_Liew@ttsh.com.sg
Project Attachment
18_TTSH_AHSP_Nurse_Led_Function_Focused_Care_model_in_Maximising_Patients_Mobility_combine.pdf