Evidence map›Paper›PMID 40717404›Full record

ReviewJournal of clinical nursing2026

Safe Mobility in Hospitalised Older Adults: A Concept Analysis.

Esther Mourão Nicoli, Frances Valéria Costa E Silva, Rosane Barreto Cardoso, Tallita Mello Delphino, Luciana Guimarães Assad, Samara Gonçalves de Oliveira

Abstract readReview
In one paragraph

Review in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Esther Mourão NicoliRio de Janeiro State University, Rio de Janeiro, Brazil.ORCID 0000-0002-0061-7639
Frances Valéria Costa E SilvaRio de Janeiro State University, Rio de Janeiro, Brazil.ORCID 0000-0002-0441-2294
Rosane Barreto CardosoFederal University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0001-8052-8697
Tallita Mello DelphinoRio de Janeiro State University, Rio de Janeiro, Brazil.ORCID 0000-0002-4489-1795
Luciana Guimarães AssadRio de Janeiro State University, Rio de Janeiro, Brazil.ORCID 0000-0003-1134-2279
Samara Gonçalves de OliveiraRio de Janeiro State University, Rio de Janeiro, Brazil.ORCID 0000-0002-4532-9489

Funding

Doctoral funding from CAPES
6 · The paper itself

Abstract

aimTo conduct a concept analysis of 'safe mobility', with specific application in hospitalised older adults, identifying its defining attributes, antecedents and consequences.

backgroundThe promotion of safe mobility is essential for maintaining the functionality of hospitalised older adults. However, this idea is not yet clearly defined in the scientific literature, requiring a conceptual analysis for better understanding and applicability in nursing practice.

designConcept analysis.

methodsThe concept analysis methodology of Walker and Avant was employed, consisting of eight steps. Sources from the scientific literature (BDENF/VHL, Scopus, CINAHL/EBSCO, Embase, Web of Science, PEDro, MEDLINE/PubMed and CAPES Thesis and Dissertation Catalogue, as outlined in a scoping review previously published by the authors) and terminologies from dictionaries and nursing practice, such as SNOMED CT, ICNP, NANDA, NIC and NOC, were analysed.

resultsThe concept of 'safe mobility' does not have a consolidated definition but was identified through three defining attributes: active movement, prevention of fall-related harm and prevention of immobility-related harm. The antecedents include the older adults' conditions, adaptation of the hospital environment, training of the multidisciplinary team, patient behaviour and family involvement. The consequences involve the maintenance of functionality, improvement of quality of life, reduction of hospital length of stay and costs, as well as a decrease in rates of readmission, referrals to long-term care institutions and mortality.

conclusionThe concept analysis revealed that safe mobility involves promoting active movement and preventing harm related to both immobility and falls. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: Strategies based on this concept can improve the quality of life of older adults, reduce complications and optimise hospital costs. NO PATIENT OR PUBLIC CONTRIBUTION: This concept analysis examines existing literature and does not require patient-related data collection. The methodological approach does not necessitate collaboration with the public.

Indexed as

Accidental FallsConcept FormationHospitalizationPatient SafetyAgedAged, 80 and overHumansMaleagedhospitalsmobilitysafety

Identifiers

PMID40717404
PMCPMC13068180

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.