Table 1 Components of the implementation strategy
From: Feasibility of an implementation strategy for preventing falls in homecare services
Component | Strategy | Actors | Actions | Targets of the action | Temporality | Dose | Implementation outcome affected |
|---|---|---|---|---|---|---|---|
Empower leaders to facilitate implementation | Leader commitment | Facilitators | Leader commitment was built through local meetings with managers during phase 1, and by establishing participation of managers in the implementation teams. | Leaders and managers in city districts | Phase 1 | Local meeting with managers | Feasibility |
Train leaders in implementation | Facilitators | Leaders were trained in their role in implementation | Leaders and managers in city districts | Phase 1 | One 3-h seminar with managers | Feasibility | |
Tailor dual competence improvement | Train implementation teams in implementation process | Facilitators | Implementation teams were trained in the steps of the Action cycle of Knowledge-to-Action. To support each step, the Norwegian-adapted version of the implementation toolkit Implementation of Best Practice Guidelines [19]. | Implementation teams | Phase 2 | Four 3-h workshops with each implementation teams | Feasibility |
Make training dynamic | Facilitators | The information delivery methods were varied with use of discussion, quiz and reflection tasks to help the training to be interactive. | Implementation teams | Phase 2 and 3 | Four 3-h workshops with each implementation teams | Feasibility | |
Develop and distribute educational material | Facilitators | Supporting materials for the implementation teams to use in local implementation | Implementation teams | Phase 2 and 3 | PowerPoint presentations on fall prevention, local fall rates and statistics on fall related injuries and cost, fall prevention quiz and fall related patient case. | Feasibility | |
Provide implementation support | Facilitation and support | Facilitators | City districts and managers received support in establishing the implementation teams in the first phase. Facilitation was provided to the implementation team for the implementation process. The teams also received support through meetings with the facilitators during local implementation. | Implementation teams and managers | Phase 1, 2 and 3 | Four 3-h workshops with the implementation teams, meetings with managers, and mail support when needed. | Feasibility |