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Table 2 Participatory Adaptation: description of the train-the-trainer intervention on the stroke and fractured neck of femur care pathways

From: Exploring factors that influence the spread and sustainability of a dysphagia innovation: an instrumental case study

  Stroke care pathway Fractured neck of femur care pathwaya
Acute Stroke Rehab. c in community Post-opb ward Post-op.b ward Rehab.c ward Rehab.c in community
Staff trained as local Trainers
Number of staff 3 9 d 5 4 4 9d
Designation of the trainers 2 RNs
1 OT
2 RNs
5 CSWs
2 CMs
2 RNs
2 CSWs
1H
2 RNs
2 CSWs
2 RNs
2 CSWs
2 RNs
5 CSWs
2 CMs
Follow-up support provided to the local Trainers between January–October 2013
Outreach: number of drop-in sessions 4 1 d 8 8 8 1d
Feedback: verbal and written reports at half-way and end
Adaptation: additional activities Provided staff notices about mixed diet consistencies Joint teaching with the catering team Prepared resource box with equipment to deliver the training
Co-led a funding bid to buy specialist dysphagia and adapted crockery/cutlery
Joint teaching with the catering team
Training delivered by the trainers at Awareness and Assistant Dysphagia Practitioner levels
Formal: staff trained by ward based Trainers at 6 months 20–30 e 2 d 0 15 (Awareness level) 0 2d
Formal: number of staff trained by 3 Education Leadsa at 10 months - - Surgical Services Directorate
176 RNs
97 CSWs
-
Informal: sharing knowledge, self-report and testimony from others
  1. aThree Education Leads for the Surgical Services volunteered to be trained as Dysphagia Trainers. These were in addition to the ward based Trainers
  2. bPost-operative ward. cRehabilitation. dCommunity rehabilitation unit staff rotates between the care pathways
  3. Abbreviations: RN registered nurse, OT occupational therapist, CSW clinical support worker, H housekeeper and, CM catering manager. eEstimated number (range) of stroke service staff trained by the dysphagia trainer