Implementation of MOVIN by a Nurse-Led Clinical Team: A Multiple Methods Evaluation Using the RE-AIM Framework.

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing Pub Date : 2024-07-01 DOI:10.3928/19404921-20240621-02

Barbara King, Mary Hook, Roger Brown, Jane Mahoney, Linsey Steege

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引用次数: 0

Abstract

Purpose: To evaluate the implementation of MOVIN, a multicomponent mobility intervention, by a nurse-led team and measure the effectiveness on unit-level outcomes.

Method: A pragmatic quasi-experimental study was conducted on an inpatient adult medical unit. Evaluation was guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Interviews with 13 organizational partners were conducted to understand barriers and facilitators to adoption. Thematic analysis was used to analyze the data. Quantitative data to determine effectiveness on distance of patient ambulation and percent of patients ambulated by nursing staff were analyzed using an interrupted time series.

Results: A significant increase in total weekly distances for patient ambulation and percent of patients ambulated by nursing staff occurred between preintervention, intervention, and postintervention periods. Themes for adoption included: Value, Immediate Feedback, Inclusive Implementation, Resource Needs, and Lack of Organizational Evidence. The nurse-led team demonstrated high fidelity to maintaining the core components of MOVIN.

Conclusion: A nurse-led team can successfully launch a multicomponent mobility intervention and sustain impact. RE-AIM supported assessments of key partners at multiple organizational levels, capturing critical unit level outcomes. Multiple methods for data collection and analysis yielded rich results to inform future dissemination of MOVIN. [Research in Gerontological Nursing, 17(4), 189-201.].

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由护士领导的临床团队实施 MOVIN：使用 RE-AIM 框架的多种方法评估。

目的：评估由护士领导的团队实施的MOVIN--一种多成分移动性干预措施，并衡量其在病房层面的效果：方法：在一个成人住院医疗单位开展了一项务实的准实验研究。评估以 "到达、效果、采用、实施和维持"（RE-AIM）框架为指导。对 13 个组织合作伙伴进行了访谈，以了解采用的障碍和促进因素。采用主题分析法对数据进行分析。使用间断时间序列对定量数据进行分析，以确定护理人员在病人步行距离和病人步行百分比方面的效果：结果：在干预前、干预中和干预后，病人每周行走的总距离和护理人员行走病人的百分比都有明显增加。采用的主题包括价值、即时反馈、包容性实施、资源需求和缺乏组织证据。护士领导的团队在维护 MOVIN 核心组件方面表现出了很高的忠实度：由护士领导的团队能够成功启动多成分流动性干预，并保持其影响力。RE-AIM支持对多个组织层面的关键合作伙伴进行评估，捕捉关键单位层面的成果。多种数据收集和分析方法产生了丰富的结果，为未来推广 MOVIN 提供了依据。[老年护理研究》，17（4），189-201。］

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来源期刊

Research in Gerontological Nursing NURSING-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.