{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:46:41Z","timestamp":1791478001427,"version":"4.3.4"},"reference-count":25,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T00:00:00Z","timestamp":1576627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There are currently no validated tools that are reliable and easy to use for nurses to assess mobility in people with acute cardiovascular disease in the Cardiovascular Intensive Care Unit (CICU).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multidisciplinary team at an academic tertiary care centre developed the Level of Function (LOF) Mobility Scale for use in a nurse\u2010driven early progressive mobilisation in the CICU. To determine inter\u2010rater reliability, the prehospital and admission LOF were assessed independently by two CICU nurses. Pairwise comparisons between raters were evaluated using Cohen's kappa statistic. To determine convergence validity, the LOF and Activity Measure for Post\u2010Acute Care 6\u2010Clicks score upon admission were compared with Spearman's correlation. To determine feasibility, a 9\u2010item mobility scale questionnaire was distributed to CICU nurses with and without experience using the LOF Mobility Scale. The STROBE reporting guidelines were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The LOF Mobility Scale had good inter\u2010rater reliability for assessment of LOF prior to hospitalisation (<jats:italic>N<\/jats:italic>\u00a0=\u00a0131, kappa\u00a0=\u00a00.66,<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001) and at the time of CICU admission (<jats:italic>N<\/jats:italic>\u00a0=\u00a0131, kappa\u00a0=\u00a00.71,<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001). There was a moderate correlation (<jats:italic>N<\/jats:italic>\u00a0=\u00a079 observations; correlation coefficient\u00a0=\u00a00.525;<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01) between the bedside nurses LOF and the 6\u2010Clicks score. All nurses surveyed (<jats:italic>N<\/jats:italic>\u00a0=\u00a054; 100%) thought that the LOF Mobility Scale was clear and unambiguous, the LOFs were well\u2010defined and the scale was an appropriate length. Nearly all of the nurses with experience using the scale (<jats:italic>N<\/jats:italic>\u00a0=\u00a022\/24; 92%) felt that the scale took less than one minute to complete, compared with about half (<jats:italic>N<\/jats:italic>\u00a0=\u00a014\/30; 47%) in the group of nurses without experience using the scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The LOF Mobility Scale is reliable and feasible for mobility assessment in a nurse\u2010driven early progressive mobilisation programme in patients with acute cardiovascular disease in the CICU.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>A nurse\u2010driven EM programme can be implemented in the CICU.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15124","type":"journal-article","created":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T01:52:06Z","timestamp":1575337926000},"page":"778-784","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Level of function mobility scale for nurse\u2010driven early mobilisation in people with acute cardiovascular disease"],"prefix":"10.1111","volume":"29","author":[{"given":"Diana","family":"Dima","sequence":"first","affiliation":[{"name":"Department of Nursing Jewish General Hospital McGill University Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Valiquette","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Jewish General Hospital McGill University Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joelle","family":"Berube\u2010Dufour","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Jewish General Hospital McGill University Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9790-1232","authenticated-orcid":false,"given":"Michael","family":"Goldfarb","sequence":"additional","affiliation":[{"name":"Division of Cardiology Jewish General Hospital McGill University Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01823246-201223010-00002"},{"key":"e_1_2_8_3_1","volume-title":"Practical Statistics for Medical research","author":"Altman D. 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