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Mobility Assessment Instruments.
Kristen L Fessele1, Grigory Syrkin2
1Department of Nursing, Office of Nursing Research, Memorial Sloan Kettering Cancer Center, New York, NY.
Seminars in Oncology Nursing
|July 16, 2024
Summary
Choosing the right mobility assessment tool is crucial for effective patient care. Consider the evidence, setting, and patient population for optimal outcomes in multidisciplinary settings.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Clinical Assessment
Background:
- Mobility assessment is vital for patient care and research.
- Numerous tools exist, varying in application and setting.
- New sensor technologies offer objective physical activity data.
Purpose of the Study:
- To review common mobility assessment instruments.
- To discuss their application in multidisciplinary research and clinical practice.
Main Methods:
- Systematic review of peer-reviewed articles.
- Inclusion of government websites and best practice guidelines.
- Analysis of data from electronic databases (PubMed, CINAHL).
Main Results:
- A wide array of assessment tools are available, including clinician-, observer-, and patient-reported measures.
- Performance outcome instruments and implementation resources vary in purpose and setting.
- Wearable and ambient sensors enable passive, objective data collection for mobility changes.
Conclusions:
- Tool selection depends on evidence, population, outcomes, feasibility, and psychometric properties (validity and reliability).
- Nurses, particularly in inpatient settings, play a key role in mobility assessment and care planning.
- Establishing a robust mobility culture necessitates a systematic, multidisciplinary, and sustained approach.
Keywords:
CancerFunctional declineMobilityNursingOutcome assessmentPhysical activityWearable activity monitors
