Table 1 RE-AIM elements, measurement methods and outcome measures
From: Evaluation of an infection control link nurse program: an analysis using the RE-AIM framework
RE-AIM dimension | Definition operationalized for this study | Outcome measures | Data Sources |
|---|---|---|---|
Reach | The absolute number, proportion, and representativeness of inpatient wards and outpatient clinics that appointed an ICLN | Total number of inpatient wards and outpatient clinics that appointed one or more link nurses ICLN meeting attendance; proportion and average for inpatient wards and for outpatient clinics Facilitators and barriers to participate and attend meetings | Project documents Project documents Interviews |
Effectiveness | The (perceived) impact of the program | Change over time in compliance with the hospital dress code Change over time in compliance with hand hygiene protocol Empowerment of link nurse Perceived impact of link nurse activities on infection prevention policies (e.g. hand hygiene and dress code) Perceived mechanisms that contributed to this impact Perception of ward management regarding the skills of link nurses to disseminate their knowledge and influence routine practice | Details published elsewhere [20] Direct observations Psychological Empowerment Instrument Interviews Interviews Ward management survey |
Adoption | The willingness of stakeholders to participate in the implementation of the link nurse program The willingness of ICLN to initiate link nurse activities | Stakeholders that were involved in the start of the link nurse project Work engagement of link nurses Willingness and motivation of link nurses to initiate link nurse activities Factors that influence willingness and motivation of link nurses | Project documents UWES 9 –questionnaire Interviews Interviews |
Implementation | The fidelity of the ICLN program (was it implemented as intended?) | Implementation process, preconditions and contextual factors Use of the program by link nurses | Project documents Interviews |
Maintenance | Did the ICLN program become part of the hospital or department routine? | Routines and policies at hospital level that include link nurses Link nurse activities that became part of the routine at the ward level | Project documents Interviews |