105 Barriers and Facilitators Associated with the Implementation of Technical Improvements in Medical Beds 4 Phase two focused on defining learning goals for the key users. In phase three, key users received additional training based on a two-page checklist detailing all the functionalities of the beds. These key users were tasked with sharing their knowledge to colleagues in their respective wards. Four demo beds were made available for handson training during the four weeks leading up to the introduction of the beds across all wards. However, this meant that fewer than half of the clinical wards had access to the new beds during the preparation phase. Instructions for patients were prepared with the intention of being distributed both as hardcopy handouts by hostesses and digitally via iPads available in all patient rooms. The educational sessions planned for phase four were conducted later than intended, taking place after phase 5. These sessions aimed to address challenges key users faced following the introduction of the beds. The clinical advisor and her colleagues made continuous efforts to reach as many key users as possible. The clinical advisor noted: “Fewer and fewer people were attending, specifically the training on pressure ulcers. Sometimes only 1 or 2 people would show up. My colleague came all the way from Belgium, and we invited many people, so we had certain expectations. But it didn't work out because there were just too few people each time.” Clinical advisor “I also noticed, and I mentioned this before, that nurses prefer to stay on their ward and receive training there. People sometimes have to walk 20 minutes to get to the training, and it gets forgotten or no time is made for it.” Clinical advisor In phase five, the goal was to introduce the beds in a festive manner. This phase also included plans to follow up on the on-the-job training provided by key users, focusing om the basic and safe use of the new beds. Additionally, informing stakeholders was intended to be part of this phase. However, the latter were not deployed. In phase six, the plan was to launch an e-learning module about the beds. However, due to disagreements about the content, this did not materialize. There was also an intention to develop a plan to secure competency in working with the bed for new employees and to provide knowledge updates for all users. Process evaluation outcomes The evaluation of the implementation in terms of reach, dose and fidelity is summarized in Table 5.
RkJQdWJsaXNoZXIy MTk4NDMw