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

Area of Science:

• Nursing research
• Healthcare implementation science
• Patient mobility interventions

Background:

• Multicomponent mobility interventions are crucial for improving patient outcomes in hospital settings.
• Effective implementation strategies are needed to ensure widespread adoption and sustained impact.
• Nurse-led initiatives can play a pivotal role in driving healthcare innovations.

Purpose of the Study:

• To evaluate the implementation of the MOVIN multicomponent mobility intervention led by a nurse-led team.
• To measure the effectiveness of the MOVIN intervention on unit-level patient mobility outcomes.
• To identify barriers and facilitators to the adoption and sustainability of the intervention.

Main Methods:

• A pragmatic quasi-experimental study design was employed on an inpatient adult medical unit.
• The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework guided the evaluation.
• Quantitative data (ambulation distance, percentage of patients ambulated) were analyzed using interrupted time series, and qualitative data from 13 organizational partners were analyzed thematically.

Main Results:

• Significant increases in total weekly patient ambulation distances and the percentage of patients ambulated by nursing staff were observed post-intervention.
• Key themes influencing adoption included perceived value, immediate feedback, inclusive implementation, resource needs, and organizational evidence.
• The nurse-led team demonstrated high fidelity in maintaining the core components of the MOVIN intervention.

Conclusions:

• Nurse-led teams can successfully implement and sustain multicomponent mobility interventions like MOVIN.
• The RE-AIM framework effectively supported the assessment of organizational factors and unit-level outcomes.
• The study's mixed-methods approach provided rich data to inform future dissemination of the MOVIN intervention.