Table 3 Key features of the strategy package
Components | Key features | Example quotations from nurses |
|---|---|---|
Flexible and sustainable training services | Use hybrid formats | “I think new staff will need training. Other staff doesn’t need unless there are program updates.” “I think internal communication is better than official training because the daily work won’t be interrupted.” |
Mass media and opinion leader campaigns | Make benefits visible | “Maybe have to think about how to promote this program better. Because I rarely heard patients’ comments, I don't’ think this service is important or necessary. If we can see the benefits, we will have greater motivation.” |
Frame the purpose | “I think it’s important to explain clearly the reasons behind it, the concept, why there is this new project, the future development, etc.” | |
Technology and workflow redesign | Upgrade to be compatible with current workflow | “The drug database it out of date. Some medications were no longer prescribed and some new drugs are frequently prescribed now. About two-thirds of the medication are not covered. It’s important to regularly review and update the database” “From my perspective, I think the most important thing for discharge medication education is the what medication is changed, so it’s better for PDIS to include this part of information.” “As there are many ethnic minority patients coming in our hospital, currently there is only Chinese version. It’s hard for me to educate them without English version.” |
Adopt a default design | “Is it possible to modify the system to combine the PDIS with other discharge documents with one print button? If so, the work will be more efficient.” | |
Provide a digital option | “Because of the Covid 19, we are comfortable with digital technologies. It would be more convenient if PDIS has a e-version, such as, incorporated into the patient portal.” | |
Multidisciplinary team approach | “I think we can work with pharmacists. Some wards have resident pharmacists. I think we need pharmacists to help with explaining medication side effect.” “I think we can print the form and pharmacists can help with the detailed explanation when patients go to pharmacy to get their medication.” | |
Build up a shared-decision approach | “I think there should be a mechanism involve front-line representatives from each clustera participating in regular review of PDIS. Maybe set up a committee and send the feedback to the central government.” “I think it’s better to build up a platform to facilitate the collection of front-line users’ feedback in order to facilitate the refinement of the PDIS.” | |
Corporate level audit & feedback | Concrete action plans | “It would be better to clarify what parts I have to explain, and something I need to pay attention to.” |