Mobility of older people in hospital version 1

  • Research type

    Research Study

  • Full title

    Qualitative study to evaluate the views and perceptions of physical activity in older age, in-hospital volunteer-led mobilisation and family participation in hospital care.

  • IRAS ID

    131776

  • Contact name

    Helen Roberts

  • Contact email

    hcr@soton.ac.uk

  • Sponsor organisation

    University Hospital Southampton Foundation NHS Trust

  • Research summary

    There is a well-recognised problem of low mobility (walking) and bed rest in hospitalised older people that puts the patients at risk of various complications such as infections, blood clots, pressure sores, confusion, loss of muscle strength and social independence. Studies using accelerometers (electronic devices attached to limbs to measure levels of activity throughout the day) show that patients who are awaiting discharge home only spend up to 43 minutes in upright position per day ie standing or walking.
    In view of current clinical staffing levels in the UK medical wards for older people, training volunteers to assist with patient care is being explored.
    The Southampton Mealtime Assistance Study was established in 2010 to improve nutritional intake of older inpatients by providing trained volunteers to help at lunchtimes. The volunteers have become popular both with patients and staff members who appreciate their competent input on busy wards. Drawing on this valuable experience we are now planning to train the volunteers to assist with patients’ mobility.
    This qualitative study aims to evaluate the views and perceptions around physical activity in older age, mobilisation of patients on the wards, use of volunteers and family members to help with patient care. It will include interviewing a sample of hospitalised older people, their families and carers and conducting focus groups among various members of clinical staff and existing volunteers. It will take place at the University hospital Southampton during September 2013 – April 2014.
    In addition to the in-depth qualitative research, the survey will enable us to address a larger group of inpatients, outpatients, community dwelling older people and individuals who are engaged and interested in the care and lives of older people (such as volunteers working for Age UK).
    This research will inform the future study of volunteer-assisted mobilisation of hospitalised older people.

  • REC name

    North East - Newcastle & North Tyneside 2 Research Ethics Committee

  • REC reference

    13/NE/0276

  • Date of REC Opinion

    13 Sep 2013

  • REC opinion

    Favourable Opinion