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NR 631 Week 8 CGE Project Portfolio
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CGE Project Portfolio
Amanda Shouse
Chamberlain University College of Nursing
NR 631- Nurse Executive Concluding Graduate Experience
Dr. Kisha Williams
May 2022
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Project PICOT Question
Among patients in an acute care setting (P), will documenting patient mobility on a
mobile electric documenting system such as the Rover in real time (I) compared to waiting to
document mobility at a later time (C) increase mobility documentation to 82% from 69% (O) in
six months (T)?
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Abstract Summary of Project Topic
At my organization, the average percent for compliance of mobility documentation is
69%. The goal of the practicum project is to increase mobility and mobility documentation
compliance to 82% organization wide. The barriers that have prevented nursing staff from
documenting mobility includes staffing shortage issues, lack of ability to document in real time,
and lack of education regarding the importance of mobility and the documentation requirements.
Mobility can decrease the number of falls in a hospital setting because it decreases the
patient’s risk of becoming deconditioned and weak. Patient’s who are admitted to the hospital are
less likely to ambulate and become more deconditioned which can lead to a longer length of stay
and an increased chance of having to go to a skilled nursing facility for continued rehab, which
can delay discharge and further patient deconditioning. Evidenced- based practice has suggested
that when patients are offered mobility during purposefully rounding, they are less likely to
attempt to get out of bed without assistance and therefor decreases the chance of the falls. My
practicum project will be implementing a work flowsheet on our mobile EMR system called the
ROVER and will allow nursing staff the opportunity to document mobility when mobilization
occurs. By implementing a way to document in real time will assist with increasing compliance
with mobility documentation.
For the CGE project, I have worked with my organizations Fall’s Prevention Committee,
my mentor, nursing informatics, education department, and a nurse analyst to create an education
piece that will be shared to all nursing staff to educate staff regarding the new workflow sheet
that allows staff to document mobility on the Rover device. After the education is approved by
the education committee, it will be assigned to all nursing staff to complete the online education.
This project will run until November 2022. The education piece is currently in the process of
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being approved by the education committee at the June monthly meeting. After the education is
officially approved, the education department will assign each nursing staff the education
module.
As the project manager, I will look at the monthly unit report cards for each unit to see if
the metrics have had an increase in mobility compliance. Currently, my unit is at 42% for
mobility compliance and the organizations’ goal is 83%. For the month of May, my unit had a
total of five falls and two of those falls were with injury. When looking at monthly metrics, I will
look at the number of falls per month and the percentage of mobility compliance to see if there is
an increase in mobility documentation compliance and a decrease in falls. By looking at these
metrics monthly, it will allow me to discuss with staff any barriers they see are preventing them
from utilizing the new intervention from the project.
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