104 Chapter 4 Table 4 Implementation plan, execution and possible determinants contributing to the execution Plan Executed (yes/no/ parts/unknown) Determinants that may have impacted the execution Phase 1 First training key users Yes Voluntary versus appointed key users Phase 2 Preparing learning goals for the key users Yes None Phase 3 Demo bed Parts Only available upon request. 4 beds available, resulting in limited availability (wards are divided over 6 floors) Patient instructions digital No It wasn’t possible to add the information to the patient rooms’ tablets at the time Patient instructions hard copy Parts Only distributed once, directly after the introduction of the new beds. Phase 4 Second training for key users Parts Performed after the introduction of the beds. Retention of key users Phase 5 Festive introduction of the beds Parts Aimed primarily at the patients Follow up to check the on-the-jobtrainings No No information available Informing other stakeholders Unknown No information available Phase 6 E-learning published on the hospital’s platform No No agreement on the contents of the e-learning Secure competence in working with the bed (yearly knowledge update) Parts/No Only upon request, limited to no requests were received New employee training Parts Executed a few times, 15-30 minutes. After COVID-19 this was discontinued Implementation process In the interview about the implementation plan, the participant highlighted which aspects were executed and which were not. Table 4 provides an overview of the actual delivery of the implementation strategies. In phase one, the train-the-trainer concept involving key users was prepared. The clinical advisor conducted a one-hour training session with key users. During the interview she discussed the various levels of motivation among key users to participate in these sessions: “Some key users were appointed, and it's actually better if you become a key user voluntarily, because then you are more motivated than if they are appointed.” Clinical Advisor
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