Early Mobility Protocol


EarlyMobility Protocol

Nursingis a diverse field that informs leadership, public policies, andhealth care needs. Nurses form the largest percentage of theworkforce in the industry. As part of educational requirements,nurses possess a range of educational competencies moving up todoctoral degrees. The field is broadly categorized into two mainsectors namely research-based and evidence-focused. The Doctor ofNursing Practice (DNP) is an essential program that helps in thedevelopment of appropriate practice-focused interventions to addressthe challenges facing the healthcare sector. Nursing professionalshave an ultimate duty to ensure the provision of quality healthservices to patients and wider community. DNP is both a terminaldegree in nursing education as well as graduate qualification forpreparation for advanced clinical practice (American Association ofColleges of Nursing, 2010). It has a great focus on practicalcompetencies as opposed to academic research. DNP helps in preparinga learner towards improving healthcare outcomes and systems of care.

Thepaper examines the role of DNP nurse leader in the evaluation andexecution of evidence-based practice within an organizationalsetting. Often, hospitalization brings lengthy periods of bed restdue to adverse health outcomes. Research indicates that early orprogressive mobility protocols are intended for targeted patientpopulations. Further, early mobilization procedures minimize therates of complications such as pneumonia, sepsis, and urinaryinfections, among others. Limited mobility can cause musclede-conditioning. Development of appropriate mobility protocolrequires clinicians who have prerequisite skills to enhance qualitycare. Clinical professionals with DNP qualifications haveadministrative and leadership duties, besides the clinicalresponsibilities. Standardized mobility protocols for themedical-surgical patients can improve clinical outcomes.


Clinicalprofessionals with DNP qualifications have a responsibility inappraising evidence in early mobility for surgical patients. Earlymobility for medical-surgical patients is essential to reduce thepostoperative complications. DNP nurses have practical knowledge oncritical measures to undertake within an organizational setting toenhance positive outcomes for hospitalized patients. They proposeactions that aim to strengthen the quality of care. The objective isrealized through assessment of organizational setting and thepatient’s health status (Chism,2015).As such, caregivers consider the risk factors associated with thepatient’s condition. However, any measure should be appraisedappropriately to ensure the patients recover faster from surgicalprocedures. The appraisal needs to consider proactive measures forearly mobilization protocol. Bottom line, the assessment needs toexamine whether early mobility protocol is feasible and safe forpatients under intense care. It also intends to check whether thereis a decrease in ventilator days or not after undergoing earlymobility procedure. DNP nurses should examine the patients’perception of application of early mobility protocol (Pashikanti &ampVon, 2012).

Moreover,DNP nurses have a great responsibility in the execution of evidencein early mobility in medical-surgical patients. They are trained togenerate safe systems that influence positive clinical outcomes. Itis noteworthy that technology has increased survival rates forpatients in intensive care units (ICUs). Great focus is now placed onenhancing patient recovery and outcomes. Early mobilization forsurgical patients has significant health risks that require promptassessment (Pashikanti &amp Von, 2012). Nonetheless, studiesindicate that a patient can be safely mobilized. DNP nurses need toimplement a mobility program that encompasses monitoring equipmentand regular checks. An early mobility protocol can help in minimizingfunctional challenges arising from the ICU stay. The implementationof the program needs to consider unit standards.

Patientat higher risk of immobility requires longer hospital stays.Following several days of inactivity, an individual’s muscles cande-condition or loose muscle mass. DNP’s also involves evaluatingthe progress of the patient, particularly on muscle gain. The nursesneed to provide a conducive environment to ensure that the sickperson does not get functional disability once discharged from thehospital (Zomorodi, Topley, &amp McAnaw, 2012). Further, DNP nursesneed to undertake a review of the ailing person’s fatigue level.The review is intended to institute or recommend risk managementstrategies when a patient shows moderate signs of recovery.Evaluation of early mobility procedure also needs to consider thepatients’ perception. Postoperative satisfaction is another measurethat nurses can use to explore the benefits of early mobilization inmedical-surgical patients. Patients will show higher satisfactionlevels if the mobility protocol influences positive outcomes. It isalso important to consider physiological changes taking place on apatient. Early mobilization is likely to contribute towards positivechanges since the patient will be under the care of family andfriends. It is also appropriate for nurses to examine theorganizational setting towards responding to healthcare needs formedical-surgical patients (Zomorodi, Topley, &amp McAnaw, 2012).


DNP’sact as problem solvers and advocates for quality health serviceswithin a clinical setting. It is imperative for nurses to takeclinical leadership seriously to meet the increased demands andchanges in the healthcare industry. Evidence-based practice has abigger potential to enhance the attainment of positive healthoutcomes. From the discussion, it is evident that DNP nurses havegreater responsibilities in making appropriate decisions for earlymobility among medical-surgical patients. The execution andimplementation of early mobility program require the nurses to engagevarious units and teams within a clinical setting to generatepositive results.


AmericanAssociation of Colleges of Nursing. (2010). TheEssentials of Doctoral Education for Advanced Nursing Practice.Washington, DC: American Association of Colleges of Nursing Oct2006.

Chism,L. (2015). Thedoctor of nursing practice.Burlington, Massachusetts: Jones &amp Bartlett Publishers.

Pashikanti,L., &amp Von Ah, D. (2012). Impact of early mobilization protocol onthe medical-surgical inpatient population: an integrated review ofliterature. ClinicalNurse Specialist,26(2),87-94.

Zomorodi,M., Topley, D., &amp McAnaw, M. (2012). Developing a mobilityprotocol for early mobilization of patients in a surgical/trauma ICU.Criticalcare research and practice,2012.