Table 1.
Component part of intervention | Type A specific content and focus | Type B specific content and focus |
---|---|---|
1. IFs, meeting the essential facilitation criteria, can be recruited in long-term nursing care settings | Same criteria for both | |
2. IFs can be prepared, through an EF-led residential programme, with a set of capabilities to get started in the facilitation role at a local level | 3-day preparation focused on improvement tools and methods, audit and feedback, stakeholder mapping and context assessment and skills in facilitating change. | 5-day preparation focused on agreeing ethical processes, stakeholder analysis and engagement in development and inquiry, person-centredness, values clarification, developing a shared vision, workplace culture analysis, developing shared ownership, reflective, active learning, high challenge/high support, 360o feedback, patient/staff stories, observation of care, process and outcome evaluation, facilitation of transitions and use of creative imagination and expression. |
3. IFs are able to apply skills, knowledge and tools of facilitation at a local level including building consensus around the evidence and addressing contextual barriers/issues | Establishment of agreed goals for implementation; audit tool and structured implementation plan for the 12-month period IFs set up a local implementation team and work on the activities agreed at the residential programme (e.g. stakeholder engagement, baseline audit, action cycles, etc.). |
Exploring the inter-relationship between getting evidence into practice, developing practice, context, culture, evaluation and skilled facilitation, through learning how to engage in co-learning activities with key stakeholders in the organisation in order to build capacity for the delivery of effective evidence-based and person-centred care. IFs set up a local practice development group with whom they engage in co-learning activities experienced during the residential programme (e.g. values clarification, developing a shared vision for evidence-based and person-centred continence care, developing practice, stakeholder engagement and participatory evaluation). |
4. Monthly teleconference meetings with the EFs will provide support and mentorship to the IFs and help create a peer support network | 12 structured 1 -h meetings based around the agreed implementation plan. Minutes circulated after meeting with EFs reflections for discussion at next meeting. |
16 structured 3-h facilitated conversations based on the learning needs of the participants as they progressed their implementation work. A narrative of the conversation was recorded and circulated to participants afterwards. Actions to progress implementation activities were noted/highlighted. |
5. IFs, working with their buddy and local implementation team, and with the support of managers and leaders, will enable colleagues to implement the four evidence-based recommendations and embed improvements in care | IFs and local colleagues work systematically through the agreed 12-month implementation plan to audit, implement improvement and re-audit practice against the four guideline recommendations. | IFs, their buddy and the local practice development group systematically work through the stages of implementation and practice development relevant to their local context, informed by co-learning, critical reflection and ongoing participatory evaluation of culture and context. |