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 |