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Validating impaired physical mobility.

P A Mehmert, C W Delaney

    Nursing Diagnosis : ND : the Official Journal of the North American Nursing Diagnosis Association
    |October 1, 1991
    PubMed
    Summary
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    Impaired physical mobility is a frequent diagnosis in acute care. Specific defining characteristics, like purposeful movement inability, were supported in certain patient groups and diagnostic-related groups (DRGs).

    Area of Science:

    • Nursing
    • Clinical Informatics
    • Healthcare Management

    Background:

    • Impaired physical mobility is a common diagnosis in acute care settings.
    • Understanding its defining characteristics and associated factors is crucial for accurate diagnosis and effective care planning.
    • Electronic health records offer a valuable resource for studying clinical diagnoses and patient data.

    Purpose of the Study:

    • To examine the frequency and defining characteristics of impaired physical mobility in acute-care patients.
    • To investigate patient demographics, length of stay (LOS), discharge destination, and diagnostic-related groups (DRGs) associated with this diagnosis.
    • To assess the effectiveness of electronic data retrieval for nursing research.

    Main Methods:

    • Analysis of electronic patient data tapes.

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  • Examination of frequency, individual, and group sensitivity of defining characteristics.
  • Investigation of related factors, patient demographics, LOS, discharge destination, and DRGs.
  • Utilizing elements of the Nursing Minimum Data Set (NMDS).

    • Main Results:

    • Impaired mobility was confirmed as a high-frequency diagnosis in heterogeneous acute-care patients.
    • No single defining characteristic was universally supported across all patients.
    • A cluster of three characteristics (inability to move purposefully, decreased muscle strength, and imposed movement restrictions) showed group sensitivity.
    • Defining characteristics varied significantly among different DRGs.
    • NANDA-preidentified related factors were associated with the diagnosis.

    Conclusions:

    • Electronic data retrieval is an effective method for collecting and analyzing nursing data.
    • While impaired mobility is common, its defining characteristics are complex and context-dependent.
    • Further research into DRG-specific characteristic clusters can refine diagnostic accuracy and patient care.