Abstract
Introduction: A summary of the best available evidence in relation to the importance and awareness of hospital associated deconditioning (HAD) and barriers associated with hospital-based deconditioning prevention in order to evaluate the effectiveness and feasibility of deconditioning prevention programmes. Additionally, to gather available evidence focused on the implementation of a national programme. Method: Literature search of Published and unpublished studies and trials were searched using various databases; HDAS (Healthcare Database Advanced Search) databases (OVID platform) Embase, British Nursing Index (BNI) etc. 104 search records were gathered and step by step removal of duplicates and application of inclusion and exclusion criteria was conducted then local studies and trials were prioritized, as the primary objective was to collect evidence for deconditioning prevention programmes, national implementation of a deconditioning prevention programme and evidence for their effectiveness. Results: Two studies focused on the importance of hospital associated deconditioning (HAD), 2 investigated the risk factors of hospital associated deconditioning (HAD): the remaining 10 studies and trials were on deconditioning prevention programmes. Conclusion: This review identified the scarcity of published data on UK based studies and trials on deconditioning prevention programmes and also it would be beneficial to introduce deconditioning prevention in the Trust as mandatory training, because deconditioning prevention in older patients is every staff member’s responsibility. Upon analysis the well-coordinated and funded approach could be the key element in the success and sustainability of the Canadian ‘MOVE ON’ programme in comparison to UK deconditioning prevention programmes. The danger for the UK movement is the lack of allocated funds, which makes intervention more difficult and a struggle to sustain. To remedy this, the cost-effectiveness of reconditioning programmes needs to be strongly emphasized to commissioners. Lack of published evidence of effectiveness and data on positive outcomes would delay implementation of a national programme.