End PJ Paralysis: An initiative to reduce patient's functional decline.

ATTITUDE (Psychology); PRESSURE ulcers; COGNITION; ACCIDENTAL falls; HOSPITAL patients; LENGTH of stay in hospitals; LIFE skills; EVALUATION of medical care; MEDICAL personnel; MOVEMENT disorders; PATIENT safety; WALKING; WELL-being; BODY movement; PATIENTS' attitudes

End PJ Paralysis is a patient and clinician engagement model that originated from the National Health Service (NHS) in the United Kingdom and was adapted to the Australian context by Western Health (WH). The model aims to reduce functional decline by encouraging patients to get up, dressed in everyday clothes, and moving. End PJ Paralysis is a nurse-led initiative, implemented in all five WH hospitals with a focus on acute and subacute ward beds (approximately 500 beds) and included both patient and nurse education campaigns. The initiative was launched with a very successful whole of organisation 'wear pyjamas to work' day, including the CEO, executives and senior clinicians. We found that the initiative reduced the number of falls, the number of hospitalacquired pressure injuries and patient's length of stay; and improved patient experiences: the patients reported that they felt 'better' and 'more like themselves' when they were dressed in their own clothes. Nurses and midwives also reported positive experiences. End PJ Paralysis is an effective and acceptable way to reduce the impact of immobility associated with staying in bed, by supporting hospital inpatients to get up and get moving. [ABSTRACT FROM AUTHOR]

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