Domains | Sub-Domains | Key Elements | |
---|---|---|---|
1. Political | 1.1. Teamwork: Everyone needs to be on the same page | Existing Elements | Required Elements |
a. Weekly team rounds b. Effective teamwork | c. Role clarity d. Consistent interdisciplinary approach | ||
1.2. Facilitation: A strategy for change | a. Facilitation through provision of education | b. A dedicated facilitator for implementation | |
1.3. Resources: Quality and quantity matter | a. Adequate staffing | b. Staffing complement to match patient care needs c. Equitable access to capacity building opportunities | |
1.4. Communication: Effective information sharing to enhance care delivery | a. Written documentation (goal posters, care plans, whiteboards) | b. An increase in face-to-face interactions | |
1.5. Preparedness for change: At all levels | a. Positive staff attitude to new initiatives | b. Organizational leadership to create a vision and an action plan at the facility level | |
2. Epidemiological | 2.1. Caring for persons with cognitive impairment: It’s not one size fits all | a. Use of specific models of care b. Family involvement | c. Incorporating routine and familiarity into processes of care d. An individualized care approach |
3. Geographical | 3.1. Physical layout: Impact of design on care delivery | a. Leveraging the physical environment to incorporate therapy activities | b. Re-designing the unit’s workspace to support staff collaboration |