Geriatrics

Mobility Plan QI in a Swiss geriatric inpatient clinic showed feasible adoption but mixed engagement

The Mobility Plan was feasible with median fidelity 75% and adoption 88% across 69 plans. Therapists reported high appropriateness and feasibility (about 90.9%), while nurses showed lower acceptability and feasibility. Daily step counts were descriptively higher during implementation, but the before–during design prevents causal attribution. The authors advise strengthening interdisciplinary uptake and testing effects with more robust designs. 1

Microlearning improves hospital clinicians' delirium knowledge and recognition

Meta-analysis of 15 studies found microlearning improved delirium knowledge (SMD 0.80) and recognition (SMD 0.91). Most included studies were pre–post (11/15) and quality varied, limiting certainty about long-term retention. Interventions were short (<15 minutes) and feasible across disciplines, commonly using bedside teaching, pocket cards, and e-modules. Patient-level benefits were not established and warrant further evaluation. 2

MOMANT caregiver programme increased patient activity engagement and caregiver positive experiences at 3 months

In 172 dyads, MOMANT did not change most longitudinal outcomes over 3–6 months. At 3 months the intervention group had greater patient activity engagement (p=0.02) and caregivers reported more positive experiences (p=0.03). Subjective evaluations were positive and caregivers reported improved dyadic interactions. The trial suggests modest psychosocial benefits but no broad functional or QoL improvements in this timeframe. 3