TO: Jessica Bennett, Administrative Chief of Staff
FROM: Georgia Verret, RN
DATE: March 8, 2023
SUBJECT: Research a Model to Improve Monitoring of Patients with Mobility Issues
CC: Board of Directors
I am writing to inform you know that monitoring patients with mobility issues is becoming
challenging, given that nurses must keep checking on patients every now and then. Nurses lack a
model to remotely monitor patients with mobility problems while caring for others. The regular
need to keep tracking the intervals on which to turn patients is affecting nurses' care quality and
concentration on other patients. Our providers constantly worry about keeping up with these
intervals to ensure they turn immobile patients in time. Nurses also have to tend to a small
number of patients to make time to make rounds turning and helping patients with mobility
issues. These providers can only briefly leave their patients' sight, especially those that cannot
easily signal or communicate that they need help moving or being turned. The problem is thus
limiting the nursing workforce to a small nurse-to-patient ratio, causing delays in healthcare and
being unable to meet the needs of all patients as they should. Gillespie et al. (2020) notes turning
patients is crucial to reduce pressure injury incidence. However, nurses spend a lot of time
formulating intervals in which they physically return to check on a patient who may need help
walking, moving, or turning.
Accomplishing various processes is becoming slower, and some patients also feel neglected
when nurses do not come to change their positions in time. We have also had a growing number
of patients with an increased length of hospitalization and frequency of pressure injuries. Nurses
are also unsatisfied with having to make rounds now and then to position their patients with
mobility problems appropriately. Yet, they are still responsible for the care of other patients.
Moreover, we recorded some patients who attempted to move or turn themselves when their
nurses took a little longer before returning to turn the patients and therefore suffered falls or
other injuries. Karvounis et al. (2021) discussed as we all know, these falls can translate to death,
or other injuries and are treated as medical errors resulting in severe implications for our patients,
nurses, and the institution.
Nevertheless, today, clinical information systems collect valuable data and support decision-
making (Hebda et al., 2019). Therefore, I request permission to research a potential technological
solution to this issue and help make patient monitoring quicker and more convenient. Kindly
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