{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T09:27:26Z","timestamp":1786613246827,"version":"build-2736575974"},"reference-count":41,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["1R01AG073278"],"award-info":[{"award-number":["1R01AG073278"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hospitalized older patients are predominantly sedentary, risking functional decline. Nurses and physical therapists are primarily responsible for mobility but have many competing demands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore clinicians' and patients' perceptions of mobility technicians dedicated to support inpatient ambulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a qualitative framework analysis informed by Normalization Process Theory (NPT). The four NPT constructs guided the development of an initial analytic framework. Stakeholders involved in the ambulation program from one health system were eligible to participate. These included patients and clinicians (nurses, physicians, physical therapists, and mobility technicians). We conducted semistructured interviews with participants from each stakeholder group. After transcription, we developed a codebook and analytical framework, and coded data using a hybrid deductive\u2010inductive strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We interviewed 13 patients (54% male, 69% walked at least two times per day while in the hospital) and 20 clinicians (4 nurses, 7 physical therapists, 5 mobility technicians, and 4 physicians). The following themes emerged: (1) walking is important but time is a limiting factor; (2) clinicians' knowledge can motivate ambulation; (3) communication and role clarity are fundamental to success; and (4) relationships contribute to positive outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients and clinicians perceive that mobility technicians have a positive impact. Hospitals considering implementing mobility technicians should develop communication plans and methods to integrate them into the healthcare team.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.70423","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T08:39:55Z","timestamp":1786610395000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinicians' and patients' perspectives of a mobility technician role in the hospital to promote ambulation: A qualitative study"],"prefix":"10.1002","author":[{"given":"Jordan M.","family":"Alpert","sequence":"first","affiliation":[{"name":"Center for Value\u2010Based Care Research, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anya","family":"Patel","sequence":"additional","affiliation":[{"name":"Case Western Reserve University Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Fox","sequence":"additional","affiliation":[{"name":"Center for Value\u2010Based Care Research, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Renner","sequence":"additional","affiliation":[{"name":"Center for Value\u2010Based Care Research, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua K.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quinn R.","family":"Pack","sequence":"additional","affiliation":[{"name":"Department of Healthcare Delivery and Population Sciences University of Massachusetts Chan Medical School \u2013 Baystate Springfield Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Fox","sequence":"additional","affiliation":[{"name":"Mellen Center for Multiple Sclerosis, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4310-9615","authenticated-orcid":false,"given":"Christian N.","family":"Burchill","sequence":"additional","affiliation":[{"name":"Penn Medicine Lancaster General Hospital Lancaster Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee Anne","family":"Siegmund","sequence":"additional","affiliation":[{"name":"Nursing Research and Innovation, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Stilphen","sequence":"additional","affiliation":[{"name":"Rehabilitation and Sports Therapy, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Lindenauer","sequence":"additional","affiliation":[{"name":"Department of Healthcare Delivery and Population Sciences University of Massachusetts Chan Medical School \u2013 Baystate Springfield Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael B.","family":"Rothberg","sequence":"additional","affiliation":[{"name":"Center for Value\u2010Based Care Research, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Agency for Healthcare Research and QualityAHRQ Data Tools. 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