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Table 4 Organizational support for the implementation of the 6-PACK program: resources and implementation activities

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

 

Hospital 1

Hospital 2

Hospital 3

Hospital 4

Hospital 5

Hospital 6

Hospital and ward resources

      

Appointment of an executive sponsor

✓

✓

✓

✓

✓

✓

Provision of 6-PACK equipment as recommendeda

 ‘Falls alert’ sign

✓

✓

✓

✓

✓

✓

 Low-low beds

✓

✓

✓

✓

✓

✓

 Bed/chair alarms

✓

✓

✓

✓

✓

✓

Site Clinical Leader, FTE per hospital

0.2

0.2

0.1

0.4

0.1

0.1

Appointment of 2 ward champions

✓

✓

✓

✓

✓

✓

Implementation activities

Hospital activities

 6-PACK program integrated into daily care-plan

✓

✓

✓

✓

✓

✓

Site clinical leader activities

 Attended at SCL training sessions

✓

✓

✓

✓

✓

✓

 Developed of ‘ReadySetGo’ plan

✓

✓

✓

✓

✓

✓

 Delivered ward staff education and training

✓

✓

✓

✓

✓

✓

 Attended monthly SCL network meetings

✓

Ï•

Ï•

✓

Ï•

Ï•

 Monthly communication to wards

✓

✓

Ï•

✓

✓

✓

Undertake 15-min ward ‘walk rounds’

  Weekly for the first month

Ï•

Ï•

Ï•

Ï•

Ï•

Ï•

  Fortnightly for the next 5-months

Ï•

Ï•

Ï•

Ï•

Ï•

Ï•

  Monthly for the final 6-months

✓

Ï•

Ï•

✓

Ï•

Ï•

Ward activities

 Monthly data extract provided

✓

✓

✓

✓

✓

✓

 Staff attended education sessions

✓

✓

✓

✓

✓

✓

 Monthly compliance audits completed

✓

Φ

Ï•

Ï•

Ï•

Ï•

  1. ✓Adherent
  2. Ï• Partially adherent
  3. aRecommended allocation of equipment: ‘Falls alert’ signs: 1 per patient hospital bed; Low-low beds: a minimum of 1 low-low to 3 standard beds on medical wards and 1 low-low to 10 standard beds on surgical wards; Bed/chair alarms: three on medical wards and one on surgical wards
  4. FTE Full time equivalent