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Table 6 2013–2014 Timeline: Activities associated with the mechanisms of hierarchical control, participatory adaptation and the stages of the research

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

  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
  1. aCritical juncture