Table 5 Site specific Implementation Plans
Site | Interventions | Who | What | How | When | Where |
|---|---|---|---|---|---|---|
Site 1 | Case conference restructure & guidelines | MDT meeting (Client not present) | Formulation of common goals, staff actions and client actions | Face to Face group | First case conference (Client not present) Weekly thereafter | Meeting room on ward |
Client goal boards | Nominated team member and client | Discuss with the client and display goal boards in room | Prepopulated from case conference | After each case conference | Rehabilitation ward | |
Staff education and training | Site facilitator | Goal-setting education, workplace process education | PowerPoint presentations, case discussions and 1:1 sessions | Prior to and throughout implementation/on orientation to service | Meeting room | |
| Â | Two nominated staff | Talking Mats Training [41] | Online training and assignments | During implementation | Online | |
Site 2 | Client rehabilitation flyer | Intake nurse | Educational brochure | Face to face | Prior to admission | Acute hospital wards |
Goal-setting workbook | Administration officer | Print client booklets | On ward computers | Prior to admission | Rehabilitation reception | |
| Â | Admitting nurse | Give client booklet | Face to face | On admission to rehabilitation ward | At client bedside | |
| Â | Link worker (Key worker) and client | Goal-setting and rehabilitation education and goal negotiation | Face to face | Within 48Â h of admission | Rehabilitation ward | |
| Â | Case conference restructure & guidelines | MDT (Client not present) | Formulation of common goals, staff actions and client actions | Chaired by consultant/NUM or Advanced AHP | First case conference and weekly thereafter | Meeting room on ward |
Client goal boards | Key worker and client | Discuss with client and display goals and actions on goal board in room | Prepopulated from case conference documentation | After each case conference | Rehabilitation ward | |
Staff education and training | Delivered by the site facilitator | Goal-setting education, process education and workplace instruction | PowerPoint presentations, case discussions and 1:1 sessions | Prior to and throughout implementation/on orientation to service | Meeting room on ward | |
| Â | Two nominated staff | Talking Mats Training | Online training and assignments | During implementation | Online | |
Site 3 | Goal-setting workbook | Admitting nurse | Long term goal-setting discussions, and goals for the episode of care set | Documented using the goal-setting workbook | On admission to rehabilitation ward | Rehabilitation ward |
| Â | All disciplines | Complete -How do I set a goal? Templates and action plans | Documented using the goal-setting workbook | On initial assessments and updated in treatment sessions thereafter | Rehabilitation ward | |
Staff education and training | Delivered by the site facilitator | Goal-setting and rehabilitation education and goal negotiation skills | PowerPoint presentations, case discussions and 1:1 session | Prior to and throughout implementation/on orientation to service | Meeting room | |
| Â | Two nominated staff | Talking Mats Training | Online training and assignment | During implementation | Online | |
Site 4 | Goal-setting workbook | Intake nurse | Goal-setting discussions, long term goal-setting and goals for the episode of care discussed | Documented using the goal-setting workbook | On intake assessment | Consultation room |
| Â | All disciplines | Weekly goals and actions set, reviewed and updated | Documented using the goal-setting workbook | On initial assessments and follow up reviews | Consultation rooms or therapy areas | |
Staff education and training | Delivered by the site facilitator | Goal-setting and rehabilitation education and goal negotiation skills | PowerPoint presentations, case discussions and 1:1 sessions | Prior to and throughout implementation/on orientation to service | Meeting room | |
| Â | Two nominated staff | Talking Mats Training | Online training and assignments | During implementation | Online | |
Site 5 | Goal-setting workbook | Care Coordinator (Key worker) | Goal-setting discussions, and goals for the episode of care discussed | Documented using the goal-setting workbook | On initial assessment | Home visit or consultation room |
| Â | All disciplines | Weekly goals and actions set | Documented using the goal-setting workbook | On initial assessments and follow up reviews | Home visit or consultation room | |
Staff education and training | Delivered by the site facilitator | Goal-setting and rehabilitation education and goal negotiation skills | PowerPoint presentations, case discussions and 1:1 sessions | Prior to and throughout implementation/on orientation to service | Meeting rooms | |
| Â | Two nominated staff | Talking Mats Training | Online training and assignments | During implementation | Online |