ArticlePloS one2019
Disentangling the complexity of mobility of older medical patients in routine practice: An ethnographic study in Denmark.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Perspectives of health professionals on physical activity and sedentary behaviour in hospitalised adults: A systematic review and thematic synthesis.Clinical rehabilitation · 2023Pooled it
- Facilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Systems Approach Is Needed for In-Hospital Mobility: A Qualitative Metasynthesis of Patient and Clinician Perspectives.Archives of physical medicine and rehabilitation · 2021Pooled it
- Hospital-induced immobility - a backstage story of lack of chairs, time, and assistance.BMC geriatrics · 2024Trial
- Organizational barriers and enablers of adult mobility in general acute hospital units: a scoping review.Physical therapy · 2026Article
- Exploring in-hospital mobility practices for geriatric patients: insights from a mixed-method study.BMC geriatrics · 2025Observational
- Indirect Nutrition and Mobility Risks during Hospitalization: An Architectural Perspective on the nutritionDay Study Findings.Nutrients · 2023Article
- Exploring the perspectives of clinicians on solutions to tackling physical inactivity and sedentary behaviour in older hospital patients.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2023Article
- Feasibility and implementation fidelity of a co-designed intervention to promote in-hospital mobility among older medical patients-the WALK-Copenhagen project (WALK-Cph).Pilot and feasibility studies · 2022Article
- Variations in physical activity and sedentary behavior during and after hospitalization in acutely admitted older medical patients: a longitudinal study.BMC geriatrics · 2022Article
- Co-designing implementation strategies for the WALK-Cph intervention in Denmark aimed at increasing mobility in acutely hospitalized older patients: a qualitative analysis of selected strategies and their justifications.BMC health services research · 2022Article
- Adaptations and modifications to a co-designed intervention and its clinical implementation: a qualitative study in Denmark.BMC health services research · 2021Article
- Article
- Challenges in co-designing an intervention to increase mobility in older patients: a qualitative study.Journal of health organization and management · 2021Article
- Is Promotion of Mobility in Older Patients Hospitalized for Medical Illness a Physician's Job?-An Interview Study with Physicians in Denmark.Geriatrics (Basel, Switzerland) · 2020Article
- Impact of industry 4.0 to create advancements in orthopaedics.Journal of clinical orthopaedics and trauma · 2020Article
- Recommendations for older adults' physical activity and sedentary behaviour during hospitalisation for an acute medical illness: an international Delphi study.The international journal of behavioral nutrition and physical activity · 2020Article
- Early intensive mobilization after acute high-risk abdominal surgery: a nonrandomized prospective feasibility trial.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimMany older medical patients experience persistent functional limitations after hospitalization, such as dependency in activities of daily living, recurring fall incidents and increased mortality. Therefore, increased activity and mobilization during hospitalization are essential to prevent functional decline in older medical patients. No previous studies have explored how the social context influences how health professionals decide whether or not to mobilize patients. This qualitative study aimed to explore how social contextual circumstances affect the mobility of older medical patients in medical departments.
methodsAn ethnographic field study was conducted in six medical departments in three public hospitals in the capital region of Copenhagen, Denmark. Participant observations were carried out from January to June 2017. The researchers were present for up to 14 days (range, 8-14 days) in the six departments. A total of 210 pages of field notes were produced. The participants were health professionals involved in the care of older medical patients: physiotherapists, registered nurses, nursing assistants and physicians. A content analysis was conducted.
findingsFive themes concerning mobility of patients emerged: (1) materialities; (2) professional roles; (3) encouraging moments; (4) patients and relatives; and (5) organization and management. Of these, professional roles seem to be the most important because it pervaded all themes. Different health professionals in the medical departments recognized, spoke and acted based on different cultural models.
conclusionIt was found that mobility of older medical patients is entangled in a complex network of social contextual circumstances. Mobility of older medical patients is based on health professionals' different cultural models, which shape distinct professional identities and lead to contradictions and blurring of the priorities and responsibilities among the health professionals involved in mobilization. The consequence is that no profession "owns" the responsibility for mobilization, thus restricting mobilization of the patients during hospitalization.
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