Running head: COMPARISON OF RESEARCH 1
Comparison of Research: A Study of Early Ambulation in Hospitals
Student A
Grand Canyon University: NRS-433V Introduction to Nursing Research
April 3, 2020Month Date, Year
,COMPARISON OF RESEARCH 2
Comparison of Research: A Study of Early Ambulation in Hospitals
Nursing has a pivotal role in providing necessary interventions to help patients during
their hospitalizations reduce negative outcomes such as reducing infection risks, delirium, falls,
pressure injuries, and decreased mobility. In promoting patient independence and reducing these
other negative outcomes, it is fairly wellwell understood amongst nurses that promoting
ambulation while a patient is hospitalized is ideal and should be performed. There are often
barriers for nurses to ambulate their patients, one of which includes the personal belief of who is
really responsible for getting the patient to ambulate, whether the duty should be of the primary
nurse or of other disciplines such as physical therapy. When the term older adult is used in this
paper, it will be in reference to any adult older than 65 years of age. This paper will critique two
qualitative and two quantitative research articles to understand better understand the effects of
ambulation in older adults that are hospitalized.
Qualitative Research Article Summaries
In the article #3, by Doherty-King and Bowers, 2013, the research delved into the
problem of how nurses viewed the responsibility of who should advocate and promote the
ambulation of a patient. There was a clear division between nurses that felt the responsibility fell
to the primary nurse and others that felt that ambulation should be determined more by the orders
written by the doctor or what the physical therapist determined after their evaluation (Doherty-
King and Bowers, 2013). The purpose of this paper was to develop a conceptual model from
nursing views and understand the factors that affected nurse’s intervention. This research wanted
to determine the relationship of the nurses’ view of responsibility for patient ambulation and how
those views affected nursing care with interventions.
, COMPARISON OF RESEARCH 3
In article #4, by Phillips and Flesner, 2013, this research took a looklooked at the factors
that influence physical activity for older adults living residential care (RC) or assisted living
facility (AL). In several focus-group settings, a series of ten questions were asked to volunteer
residents focused on their history of physical exercise and their current practices identified
preferences of physical activities, as well as barriers and interest levels of physical activity
(Phillips and Flesner, 2013). By understanding more clearly why older adults may or may not
perform physical activities, be it any particular barrier, their personal decision or what residents’
personal preferences are, this knowledge can help steer programs and interventions to help
support and promote increased physical activity for older adults. The objective from this research
would be to generate interventions to help promote or maintain physical activities in these
communities.
Quantitative Research Article Summaries
The article #1, Nurses' Perceptions of Their Knowledge and Barriers to Ambulating
Hospitalized Patients in Acute Settings, addressed how nurses were often aware of the
importance of ambulating patients. Nursing staff, however, would often site the inability to
ambulate their patients due to shortage of staff, acuity of patient needs, unexpected rise in census
levels, and urgent situations (Sepulveda-Pacsi, Soderman & Kertesz, 2015). This research also
recognized that historically, nurses would often defer to therapists to initiate ambulation;
however, the less that patients ambulate, it has been shown that they are increasingly
deconditioned, have trouble performing activities of daily living and also may have delayed
discharge plans. By trying to determine the barriers for nursing staff to adequately ambulate
acute-care patients in the hospital as well as nurses’ perceptions of their knowledge, an
educational and interventional program can be utilized to help increase the amount of patients
Comparison of Research: A Study of Early Ambulation in Hospitals
Student A
Grand Canyon University: NRS-433V Introduction to Nursing Research
April 3, 2020Month Date, Year
,COMPARISON OF RESEARCH 2
Comparison of Research: A Study of Early Ambulation in Hospitals
Nursing has a pivotal role in providing necessary interventions to help patients during
their hospitalizations reduce negative outcomes such as reducing infection risks, delirium, falls,
pressure injuries, and decreased mobility. In promoting patient independence and reducing these
other negative outcomes, it is fairly wellwell understood amongst nurses that promoting
ambulation while a patient is hospitalized is ideal and should be performed. There are often
barriers for nurses to ambulate their patients, one of which includes the personal belief of who is
really responsible for getting the patient to ambulate, whether the duty should be of the primary
nurse or of other disciplines such as physical therapy. When the term older adult is used in this
paper, it will be in reference to any adult older than 65 years of age. This paper will critique two
qualitative and two quantitative research articles to understand better understand the effects of
ambulation in older adults that are hospitalized.
Qualitative Research Article Summaries
In the article #3, by Doherty-King and Bowers, 2013, the research delved into the
problem of how nurses viewed the responsibility of who should advocate and promote the
ambulation of a patient. There was a clear division between nurses that felt the responsibility fell
to the primary nurse and others that felt that ambulation should be determined more by the orders
written by the doctor or what the physical therapist determined after their evaluation (Doherty-
King and Bowers, 2013). The purpose of this paper was to develop a conceptual model from
nursing views and understand the factors that affected nurse’s intervention. This research wanted
to determine the relationship of the nurses’ view of responsibility for patient ambulation and how
those views affected nursing care with interventions.
, COMPARISON OF RESEARCH 3
In article #4, by Phillips and Flesner, 2013, this research took a looklooked at the factors
that influence physical activity for older adults living residential care (RC) or assisted living
facility (AL). In several focus-group settings, a series of ten questions were asked to volunteer
residents focused on their history of physical exercise and their current practices identified
preferences of physical activities, as well as barriers and interest levels of physical activity
(Phillips and Flesner, 2013). By understanding more clearly why older adults may or may not
perform physical activities, be it any particular barrier, their personal decision or what residents’
personal preferences are, this knowledge can help steer programs and interventions to help
support and promote increased physical activity for older adults. The objective from this research
would be to generate interventions to help promote or maintain physical activities in these
communities.
Quantitative Research Article Summaries
The article #1, Nurses' Perceptions of Their Knowledge and Barriers to Ambulating
Hospitalized Patients in Acute Settings, addressed how nurses were often aware of the
importance of ambulating patients. Nursing staff, however, would often site the inability to
ambulate their patients due to shortage of staff, acuity of patient needs, unexpected rise in census
levels, and urgent situations (Sepulveda-Pacsi, Soderman & Kertesz, 2015). This research also
recognized that historically, nurses would often defer to therapists to initiate ambulation;
however, the less that patients ambulate, it has been shown that they are increasingly
deconditioned, have trouble performing activities of daily living and also may have delayed
discharge plans. By trying to determine the barriers for nursing staff to adequately ambulate
acute-care patients in the hospital as well as nurses’ perceptions of their knowledge, an
educational and interventional program can be utilized to help increase the amount of patients
