In hospitals, healthcare is bed-centered. This is beneficial from a logistic point of view. The patient is easy to find and the hospital ward is arranged for medical efficiency. However, beds elicit physical inactivity. Moreover, the average hospital environment does not motivate the patient to come out of the bed and start moving.
On average, patients in hospitals spend 80% of their time in their beds. However, the vast majority of patients have no medical reason to stay in bed. This physical inactivity has detrimental effect such as loss of muscle strength, neuromuscular control and physical endurance. Promoting physical activity can be beneficial for postoperative recovery and can substantially reduce the duration of hospitalization. Especially intensive mobilization in an early stage has been proven to be effective in the prevention of negative health effects after operations.
Therefore, the objective of the Ban BedCentricity project is to remove the beds during daytime and transform the hospital environment in order to encourage patients to be more active and get out of their wards more often. The implementation will start at the department of Cardio-Thoracic surgery in Radboudumc and will be implemented in other departments in a later stage.
The following steps will be taken:
- Removing beds from the wards during daytime (replaced by ergonomic chairs)
- All caregivers in the department will be involved in encouraging physical activity
- Corridors will be made more attractive (e.g. art, warm colors, maps indicating walking routes, attractive resting places with benches)
- A hospital room will be especially arranged for physical exercise
- Patient will be provided feedback of accomplished levels of physical activity through activity monitors
Check out the video below.