Table 6 2013–2014 Timeline: Activities associated with the mechanisms of hierarchical control, participatory adaptation and the stages of the research
| Â | January 2013 | February 2013 | March 2013 | April 2013 | May 2013 | June 2013 |
|---|---|---|---|---|---|---|
Hierarchical control | Dysphagia in local induction and annual training programme for nursing staff in surgical services | - | Dysphagia master classes in induction for new qualified Registered Nurses | - | - | - |
Participatory adaptation | Train-the-trainer sessions; outreach support visits | Train-the-trainer sessions; outreach support visits; providing staff notices about mixed consistencies (acute stroke) | Train-the-trainer sessions; outreach support visits | Feedback meetings and written report to both care pathways; outreach support visits | Feedback meetings; outreach support visits; providing training resource materials (post-op fractured neck of femur NoF) | Outreach support visit co-teaching (community rehabilitation unit) |
Research | Mealtime observations | Mealtime observations | - | - | Mealtime observations | Mealtime observations |
|  | July 2013 | August 2013 | September 2013 | October 2013 | November–December 2013 | January 2014 |
Hierarchical control | Dysphagia master classes in induction for new RNs | - | - | Dysphagia master classes in induction for new RNs | Findings and preliminary recommendations agreed by research management group, including patient /public members | Findings presented to the Nutrition Group. Approved recommendations. |
a Dysphagia in annual up-date training for OTs and PTs | ||||||
Participatory adaptation | - | - | Extra train-the-trainer session for a new trainer (post-op NoF) | Written feedback; co-led funding bid for ward specialist equipment (NoF) | Extra train-the-trainer session for 2 new trainers in community setting | Train-the-trainer session requested by new staff given this role (stroke) |
Research | Mealtime observations Knowledge & attitude survey Interviews | Interviews Data analysis | Interviews Data analysis Team meeting: headline findings | Interviews Data synthesis about spread and sustainability | Member checking with the research management group | Executive summary sent to all participants |