Table 3:

Recommendations for initiatives to support stakeholder role in in-hospital mobility based on results of qualitative metasynthesis.

Recommendation	Metasynthesis supporting results	Target socioecological model level
Improve clarity about responsibility for mobility-related tasks	There is often uncertainty over who has responsibility for mobility tasks	Clinician, unit, hospital
Environmental changes: reconstruct patient rooms to encourage out of bed activities	The physical environment can hinder stakeholders from fulfilling their roles in in-hospital mobility.	Hospital
Balance fall risk with benefits of mobility, and consider measuring physical activity and physical function as quality metrics for hospitals.	Fear of falling hinders mobility	Hospital, healthcare system
Routinely assess prior level of function	Uncertainty surrounding prior level of function can hinder mobility.	Hospital, healthcare system
Challenge stereotypes around aging	Ageism lowers expectations surrounding mobility	Hospital, unit, clinician
Staff support and training, integration of mobility into existing tasks and workflow	While some clinicians can facilitate mobility in uncertain circumstances, many have trouble including mobility into workflow, which can be easily interrupted	Clinician, unit, hospital
Increase expectations for mobility in the hospital	Patients often to do not expect to be mobile in the hospital, while clinicians often have low expectations for their older patients.	Patient, clinician, caregiver, hospital