Intervention Component | Department X/Y | Number of Adaptations | Content or Context Adaptation | Descriptions of the Adaptations | When Did the Adaptation Occur? |
---|---|---|---|---|---|
WALK-plans | X | 1 | Content | Patients who have not been assigned a WALK-plan are marked with a minus sign on the board in the staff room. This is to ensure that all health professionals are made aware that a decision has been made about WALK-plans for the patient in question | Implementation |
 | X | 2 | Content | A rack for WALK-plans is installed | Pre-implementation |
 | X | 3 | Content | Changes in time and timing of board meetings, where WALK-plans are discussed | Implementation |
 | X | 4 | Content | Changes in the interprofessional collaboration in relation to WALK-plans by which the physicians did not have a part in the intervention | Implementation |
 | X | 5 | Content | It is discussed whether WALK-plans should be described in the care plan or in the discharge report/rehabilitation plan, and it is agreed that the WALK-plans should be described in the discharge report/rehabilitation plan | Implementation |
 | X | 6 | Content | Changing signature on the WALK-plans, so the nurses and physiotherapists become responsible for signing the WALK-plans | Implementation |
 | X | 7 | Content | Changes in the responsibility for handing out WALK-plans with shifts from physicians to nurses and physiotherapists | Implementation |
 | X | 8 | Content | WALK-plans (home) are not handed out to patients | Implementation |
 | X | 9 | Content | In-hospital WALK-plans and WALK-plans (home) are merged into one WALK-plan | Implementation |
 | X | 10 | Content | Sticker with WALK-Cph logo is attached to envelope with welcome folder | Implementation |
 | Y | 11 | Content | Patients who have not been assigned a WALK-plan are marked with a minus sign on the board in the staff room. This is to ensure that all health professionals are made aware that a decision has been made about WALK-plans for the patient in question | Implementation |
 | Y | 12 | Content | The WALK-plans are placed behind the patient’s bed, so it becomes visible for both patients and health professionals | Implementation |
 | Y | 13 | Content | The establishment of a whiteboard with clips and coloured magnets for WALK-plans located in the staff’s room. This is done to create greater visibility and systematization of the WALK-plan practice | Implementation |
 | Y | 14 | Content | Changes in the responsibility for signing and handing out WALK-plans shifting from physicians to physiotherapists | Implementation |
 | X | 1 | Context | Implementation champions become responsible for board meetings when frontline managers are unavailable | Implementation |
 | X | 2 | Context | The WALK-plans are placed behind the patient’s bed, so it becomes visible for both patients and health professionals | Implementation |
 | X | 3 | Context | WALK-plans are expanded in the rehabilitation department so all patients, and not only patients enrolled in the WALK-trial, receive a WALK-plan | Implementation |
WALK-path | X | 1 | Content | A sign indicating the length of the WALK-path in metres is placed on the wall in the department | Implementation |
 | X | 2 | Content | Posters are placed on the walls in the patient rooms | Implementation |
 | X | 1 | Context | The WALK-path is moved into the new building when the department moves | Scale up |
 | X | 2 | Context | Two therapists help mobilize patients at lunch time | Implementation |
 | X | 1 | Content | The green chairs disappear | Implementation |
 | Y | 1 | Content | The blue chairs disappear. The chairs were similar to the other chairs in the ward and were not marked as WALK-chairs | Implementation |
 | Y | 2 | Content | Marking of blue chairs to ensure that they do not disappear from their location by the posters | Implementation |
 | X | 1 | Content | Small whiteboards are used periodically by health professionals and patients | Implementation |
 | X | 2 | Content | The small whiteboards are brought back to life; the physiotherapists start counting the daily number of rounds that patients have walked | Implementation |
Independent collection of clothes | X | 1 | Content | Signs with sizes and descriptions of clothes are placed on the shelves in the closet. The placement of clothes in the closet is changed, so smaller garments are placed at the bottom of the closet so that patients of smaller stature can reach their sizes | Implementation |
 | X | 2 | Content | Stickers are placed on the outside of the closets to indicate contents | Implementation |
Welcome folder | X | 1 | Content | Information about the project is not given when handing out welcome material and therefore a WALK-logo is added as a reminder | Implementation |
Independent collection of beverages | X | 1 | Content | The refrigerator is moved due to fire hazard. Patients can no longer access the refrigerator and collect beverages | Implementation |
 | Y | 1 | Content | No one is responsible for ensuring that fresh coffee and other beverages are placed on a table in the ward for self-service | Pre-implementation |
Others | X | 1 | Content | Reward in the form of cake for staff and patients when the patients in the department had walked 10 km in total | Implementation |
 | X | 2 | Content | The board of directors are informed about the project and how many kilometres patients have walked in total | Implementation |
 | Y | 1 | Content | Magnets are placed on the overview board to indicate which patients have a WALK-plan | Implementation |
 | Y | 2 | Content | The whiteboards to mark rounds are abandoned due to formal rules for this hospital | Pre-implementation |
 | Y | 3 | Content | Posters with research findings are placed on the wall along the WALK-path to motivate health professionals | Pre-implementation |
 | Y | 4 | Content | Posters with research findings are removed, so that they are no longer visible | Implementation |
 | Y | 1 | Context | Due to an organizational change in the Danish health care system, where smaller hospitals are merged with larger ones, Department Y closes | Implementation |
Implementation strategies | X | 1 | Content | Written material placed by the computers as reminders are forgotten | Pre-implementation |
 | X | 2 | Content | The physicians talk about the project at physicians’ conferences and at board meetings | Implementation |
 | X | 3 | Content | Increased communication efforts (at staff and morning meetings) about the WALK-intervention to spread the message about WALK | Implementation |
 | X | 4 | Content | The operational target board is not used in relation to Walk-plans; no operational target has been set for Walk-plans | Implementation |
 | X | 5 | Content | The frontline manager nurse receives coaching in relation to the management of the project | Implementation |
 | Y | 1 | Content | Increased communication efforts about the WALK-intervention in the group of nursing staff to spread the message of WALK | Implementation |