Table 4 “No CAUTI” Implementation strategies summary based on TIDieR
Implementation Strategy | Rationale | Mode of delivery | Delivered by | Delivered to and where | When/how often |
|---|---|---|---|---|---|
Education | |||||
Train-the-trainer workshops | To prepare educators to present the “No CAUTI” bundle to ward-based staff, and to train educators to complete urinary catheterisation competency assessments | Face-to-face (group) | Clinical nurse consultant – urology | Nurse educators from across hospital | 1x 2-3 h workshop at each facility at start of intervention |
Ward in-services | To familiarise staff with “No CAUTI” bundle and nurse-initiated removal flowchart To identify champions in each ward | Face-to-face (group) | Nurse educators | Nurses and medical officers from all adult inpatient wards, OTs, and EDs | Minimum 1x 20 min in-service in each ward at start of intervention |
Monitoring and feedback | |||||
Compliance audits and feedback | To monitor compliance with “No CAUTI” bundle and provide strategies to support implementation | Individual patient audit, and feedback face-to-face (group) to clinicians | Champions (clinicians previously identified in in-services) | All inpatient wards | Weekly for first two months and then monthly for remaining 4 months of intervention period. |
Feedback of point prevalence of IDC usage and CAUTI | To focus clinicians on targets and progress | Face-to-face (group) and email | Research project staff | All clinicians at a ward, facility, and district level | Baseline, 4 months, and 9 months |
Resources | |||||
“No CAUTI” bundle posters | Prompt awareness and better documentation | Documents displayed in wards | N/A (passive component) | Nurses and medical officers | Ongoing |
“No CAUTI” bundle badges | Prompt awareness of intervention and identify ward champions | Worn by clinicians and champions | N/A (passive component) | Nurses and medical officers | Ongoing |
Catheter insertion DVDs | Educate nurses about correct catheterisation processes | Available on intranet | N/A (passive component) | Nurses | Ongoing |
Facilitation | |||||
Competency assessments | Increase proportion of clinicians that are competent in urinary catheterisation | Face-to-face (individual) | Nurse educators | Nurses | Ongoing |
Champions | Act as a resource for clinicians and promote the No CAUTI bundle to clinicians; support implementation | Face-to-face (individual and group) | Nurses | Nurses and medical officers | Ongoing |