Abstract
Background
This QIP was conducted within the complex care department at Royal Bolton Hospital, led by a resident doctor under consultant supervision.
Introduction
Regular mobilisation during hospital admission is essential for maintaining independence, supporting mental wellbeing, and reducing length of stay. On the complex care ward, many patients were observed wearing hospital pyjamas and remaining in bed for much of the day. Staff perceived a lack of emphasis on mobility. This QIP aimed to assess and improve mobility by raising awareness of its importance and encouraging patients to wear personal clothing.
Methods
Baseline data was collected in March 2025, recording patient position (mobilising; chair; lying or sitting in bed) and attire (personal clothes; hospital pyjamas). An awareness event was held involving doctors, nurses, therapists, patients, and relatives. Posters were displayed, and the physiotherapy team led a staff–patient exercise class. Data was collected on the day of the intervention and over two further cycles.
Results
Across the four cycles, ward occupancy ranged from 21–26 patients. Patients in bed reduced from 71% at baseline to 38% on the day of intervention, then rose to 58% at both follow-ups. Those in personal clothes rose from 24% to 83% on the intervention day, then fell to 67% and 54%. Initially, 40% of those in personal clothes were mobilising, which dropped to 10% on the intervention day, then increased to 25% and 29%.
Conclusions
The intervention showed short-term improvements in mobilisation and clothing use, but effects diminished over time, indicating a need for ongoing awareness efforts. Interestingly, early higher mobilisation among those in personal clothing suggests selective dressing of mobile patients before the intervention. Further cycles are planned to explore long-term impact.