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Nurses' Behaviours and Implementation Factors Towards Promoting Mobility Among Hospitalized Older Adults in China: A
Shuang Wu1,2,3, Maritta Välimäki2,4,5, Hui Li6
1School of Nursing, Anhui Medical University, Hefei, Anhui, China.
Nursing Open
|June 22, 2026
Summary
Nurses
Area of Science:
- Gerontology and Nursing Research
- Healthcare Quality Improvement
Background:
- Promoting mobility in hospitalized older adults is crucial for functional recovery and preventing complications.
- Understanding nurses' current behaviors and influencing factors is essential for targeted interventions.
Purpose of the Study:
- To assess nurses' mobility promotion behaviors in hospitalized older adults in China.
- To identify modifiable enablers and barriers affecting these behaviors.
Main Methods:
- Sequential-explanatory mixed-methods design utilizing the Nurses' Behaviour Towards Promoting Mobility Scale.
- Quantitative data analyzed with descriptive statistics and regression; qualitative data analyzed thematically using the COM-B model.
- Integration of quantitative and qualitative findings through a joint display.
Main Results:
- Overall nurses' mobility promotion behaviors were moderate, with significant variations across dimensions.
- Key barriers included insufficient competence, lack of protocols, fear of adverse events, unclear roles, time constraints, and limited resources.
- Facilitators comprised practice-based training, incentive policies, family involvement, and organizational expectations.
Conclusions:
- Nurses' mobility promotion behaviors are suboptimal, influenced by barriers and enablers within the COM-B framework.
- Interventions should address identified barriers and leverage facilitators to enhance nurses' capability, opportunity, and motivation.
- Improving nurse-driven mobility promotion is vital for enhancing hospitalized older adults' functional abilities.
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