Skip to main content

Table 2 Outcome indicators and data collection sources for examination of implementation fidelity

From: Implementation fidelity of a nurse-led falls prevention program in acute hospitals during the 6-PACK trial

Program adherence: the adherence of nursing staff to the use of the 6-PACK program

Factor

Research question

Data source

Content

Did nurses use the individual 6-PACK interventions as designed by the program designers?

Daily structured observation of patient’s bedside

Daily audit of patient medical records

Frequency and duration (dose)

Did nurses deliver the 6-PACK program as often and for as long as planned, based on targets outlined in Box 1?

Daily structured observation of patient’s bedside

Daily audit of patient medical records

Coverage

Was the program delivered to all appropriate participants (participant selection)?

As this was a ward based intervention and all patients admitted to participating wards were recruited as part of this study, program coverage was not specifically examined

Organizational support: factors influencing program delivery by nursing staff

Factor

Research question

Data source

Hospital and ward resources

Did hospitals provide the recommended 6-PACK program resources (outlined in Table 1) to allow the intervention wards to carry out the program successfully?

Daily structured observation of patient’s bedside

Daily audit of patient medical records

Weekly site clinical leader resource utilization diaries

Resource and implementation activity compliance log

Implementation activities

What implementation strategies (outlined in Table 1) were used by participating hospitals to support, optimize and facilitate the delivery of the 6-PACK program into routine clinical practice?

Daily structured observation of patient’s bedside

Daily audit of patient medical records

Weekly site clinical leader resource utilization diaries

Resource and implementation activity compliance log

Attendance at training sessions and network meetings

Staff perceptions

How accepting were staff to the implementation of a new falls prevention program? Including staff perceptions on:

a) The need for the program

b) The alignment of the program with the existing care models and the needs of the patients

Nurse surveys