Table 7 Joint display contribution
Contribution: What agents do to implement a complex intervention (Coherence, Cognitive participation, Collective action & Reflexive monitoring) | |||||
|---|---|---|---|---|---|
|  | AR (IR) | SrA | ↑↓ | LOS (ΔLOS) | Qualitative data |
Hospital 1 | 75% (10%) | 88% | ↑17 ↓5 | (6.0d) (−3.1d) | • Model CP as refresher, evidence base valued, feedback shared in improvement team • Positive expectation of patient and team outcomes • Benchmarking with other hospitals valued • 9 disciplines involved • Activities: updating protocol, training, communication, meetings • Feedback and monitoring perceived as crucial, and routinely used • Plans ready for future development of CP |
Hospital 2 | 65% (22%) | 60% | ↑18 ↓3 | 8.2d (−4.2d) | • Evidence base of model CP valued, feedback from pre-test discussed with individuals • Ambivalent outcome expectations • Benchmarking with other hospitals valued • 5 disciplines involved • Activities: updating protocol, meetings, mandatory training, laminated poster, development of CP took longer than expected • Follow-up of data, monitoring and feedback perceived as frustrating due to manual data retrieving • Plan for further development |
Hospital 8 | 47% (−13%) | 71% | ↑6 ↓9 | 10.3d (−4.4d) | • Model pathway perceived as logical, clear (but not implemented) • CP could help to organize some of the care, positive • Unclear if and how feedback from pre-test was communicated • No improvement team, no activities |
Hospital 9 | 54% (−3%) | 72% | ↑13 ↓6 | 10.2d (2.1d) | • CP desired, but unknown, questioning applicability of some interventions, unclear if feedback was spread • No change in patient outcomes was expected • Benchmarking with other hospitals valued • 4 disciplines involved • Activities: updating protocol, limited training, crucial role for head nurses • Feedback and monitoring perceived as crucial, but not used routinely • Desire to develop more CPs and work with improvement team |
Hospital 10 | 64% (−5%) | 64% | ↑7 ↓8 | 18.8d (1.8d) | • Model CP valued, questioning applicability of some interventions, feedback shared beyond improvement team • Positive expectation of patient and team outcomes • Benchmarking with other hospitals valued • 4 disciplines involved • Activities: updating protocols, meetings, 1-on-1 instructions, communication, CP printed in patient record (reminder) • Feedback and monitoring is used, a number of indicators from the model CP was added for routine monitoring • Plan for new patient record analysis |