Table 2 The categories from the analysis are presented in the right column and implementation outcomes with its definitions in the left [26]
Implementation outcome and definition | Categories |
|---|---|
Acceptability The perception among implementation stakeholders that a given treatment, service, practice or innovation is agreeable, palatable or satisfactory. | • A motivating and useful KROSS workshop • Acceptance of prioritising a vision assessment in the hectic workday • Vision assessments create a positive change for the patients |
Adoption The intention, initial decision or action to try or employ an innovation or evidence-based practice. | • Differences in the extent of knowledge use • Increased awareness of visual impairments in clinical practise |
Appropriateness The perceived fit, relevance or compatibility of the innovation or evidence-based practice for a given practice setting, provider or consumer and/or perceived fit of the innovation to address a particular issue or problem. | • Assessing vision is a first step to better vision care • More appropriate in a rehabilitation setting |
Feasibility The extent to which a new treatment or an innovation can be successfully used or carried out within a given agency or setting. | • Practise makes perfect • Helpful instructions and supervision • Integration of the KROSS tool into the medical records ease documentation • Limited time available |
Fidelity The degree to which an intervention was implemented as prescribed in the original protocol or as intended by the programme developers. | • Followed the KROSS protocol but did not test all patients |
Penetration The integration of a practice within a service setting and its subsystems. | • Vision assessment now included in service allocation office case handling • Visual function assessment integrated into the clinical awareness • More structured interdisciplinary collaboration with vision experts |
Sustainability The extent to which a newly implemented treatment is maintained or institutionalised within a service setting’s ongoing, stable operations. | • Integration into existing routines • Desire for formal vision competence |