148 Chapter 5 Supplemental table S1 Operationalization of implementation strategies Implementation strategy as defined by ERIC From ERIC Domain Actor Action Action Target 1. Assess for readiness and identify barriers and facilitators Use evaluative and iterative strategies Project group, together with local implementation teams Assessing barriers and facilitators from field notes, informal conversations, educational sessions, short surveys Nurses, nursing assistants, nurse managers 2. Purposefully reexamine the implementation Use evaluative and iterative strategies Project group • Repeated evaluations within the project team, as well as repeated (in)formal evaluations with PU nurses, senior nurses and nurse managers throughout the entire period. • One evaluation meeting was performed with the project group and local implementation team for the Internal Medicine ward, the other evaluation meeting was performed with the Pulmonary and COVID-19 ward together. • If needed the implementation strategies changed slightly, e.g. more visits to provide interactive assistance or an extra educational session Align with changes in the context, barriers and facilitators and needs of target group 3. Develop and organize quality monitoring Use evaluative and iterative strategies Project group Ensure real-time feedback on the follow-up of the risk prediction. Continuously we improved the visualization of the feedback according to the input from nurses, in one of the updates the nursing care plan pressure ulcer was added, next to the nursing care plan at risk for pressure ulcers. Nurses, nurse champions, nurse managers,
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