Table 1 Implementation strategies
Strategy | Rationale | Delivered to and where | When/how often |
|---|---|---|---|
Engagement | |||
Establish implementation groups | Increase awareness, identify barriers and develop context specific implementation strategies | RACF staff and ED ASET nurses | Establish 3 months before implementation and meet monthly before and during planning/intervention/implementation |
Education | |||
ED visits by RACF staff | Increase awareness of residents’ ED transfer experiences | RACF staff and ED managers | Initial implementation of intervention and ongoing with change of RACF staff |
RACF visits by ACE nurses and Telehealth Coordinators | Understand RACF context to enable implementation | ACE nurses at RACF sites | Every RACF at initial implementation |
Education sessions on VTC and handover model | Increase RACF staff awareness of intervention | RACF staff | Initial implementation, ongoing with change of RACF staff |
Staff training about video conference | Familiarise ED and RACF staff with video conference equipment used in intervention | RACF staff and ACE nurses at each ED | Initial implementation |
Resources | |||
RACF Aged-Care Emergency Clinical Resource Manual | Guide ACE nurses in decision making for care of RACF residents | ACE nurses | Project start |
Manual for VTC and handover model including video conferencing | Guide ACE nurses and RACF staff to normalise the VTC and handover via video conferencing | ACE nurses and RACFs | Project start |
Establish video conferencing system | Familiarise ED and RACF staff with video conference equipment used in intervention | EDs and RACFs | Project start |
Project information sheet and information videos | Inform staff at RACFs and EDs about proposed model of care | EDs and RACFs | Ongoing |
Compliance audits and feedback | |||
Compliance audits and feedback | Monitor compliance and empower staff to continue with implementation strategies | Each site | Monthly from start of the implementation |