Functional Assessment and Intervention by Nursing Assistants in Hospice and Palliative Care Inpatient Care Settings: A Quality Improvement Pilot Study

Mary K Mueller, Gillian Hamilton, Betheny Rodden, Hendrik de Heer

Research output: Contribution to journalArticle

2 Scopus citations


This study assessed the impact of a nursing assistant-led functional intervention in an urban hospice. Thirty-three patients participated. A physical therapist trained 4 nursing assistants to assess 4 basic functional activities at admission and discharge and to provide daily activity training to intervention group participants. Control group participants were assessed at admission and discharge and received the usual standard of care. Both groups improved. The intervention group participants demonstrated significant improvement in the Timed up and Go test as well as their self-reported ability to achieve goals on the Patient-Specific Functional Scale. Control group participants made significant improvements in the ability to move from supine to sit in bed. These findings suggest that nursing assistants can provide activity-based assessment and intervention leading to improved function among patients in hospice.

Original languageEnglish (US)
Pages (from-to)136-143
Number of pages8
JournalAmerican Journal of Hospice and Palliative Medicine
Issue number2
StatePublished - Mar 1 2016



  • hospice and palliative care
  • nurses
  • outcomes assessment
  • patient care team
  • physical therapists
  • quality improvement

ASJC Scopus subject areas

  • Medicine(all)

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