Domains | Subdomains | Dimensions | Target population and measurement points | Measurement instruments (existing tools useda) | |||||
---|---|---|---|---|---|---|---|---|---|
IPAVs | RNs | NHDs | NHRs | GPs | STM | ||||
Implementation strategies and activities | |||||||||
Implementation strategies | Kick-off meeting | Attitudes, quality, and satisfaction | (T0b) | (T0b) | (T0b) | (T0b) | (T0b) | (T0b) | Questionnaires, minutes |
IPAV characteristics | E.g., roles and self-efficacy | T0b | – | – | – | – | T0b | Questionnaires, minutes | |
IPAV training | Duration, adaptations, quality, and satisfaction | T0b | – | – | – | – | T0b | Questionnaires, minutes | |
IPAV supervision | Quality and satisfaction | T0b | – | – | – | – | T0b | Questionnaires, minutes | |
IPAV work | Collaboration IPAV and IPAV substitutes | Quality and satisfaction | T1, T2 | – | – | – | – | – | Questionnaires |
IPAV activities, e.g., in-house training courses and discussions with target groups | Current practice | T1, T2 | – | – | – | – | T1, T2 | Questionnaires | |
Implementational work within team (normalization process theory) | Coherence, cognitive participation, collective action, reflexive monitoring | – | T1, T2 | T2 | – | – | – | – | Questionnaires (NoMAD questionnaire) |
interprof ACT intervention package | |||||||||
Intervention package as a whole | – | Dose and reach | T1, T2 | – | – | – | – | – | Questionnaires (NoMAD questionnaire), minutes |
Name badges | Choice and adaptation, dose and reach, local policies, current practice | T1, T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | T1, T2 | CRF, questionnaire, minutes | |
Mandatory availability rules | – | Choice and adaptation, dose and reach, attitudes, current practice, quality, and satisfaction | T1, T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | T1, T2 | CRF, questionnaire, minutes (Koverdem, InDemA) |
Designated contact persons | Choice and adaptation, dose and reach, attitudes, local policies, current practice, quality and satisfaction | T1, T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | T1, T2 | CRF, questionnaire, minutes (InDemA) | |
Standardized home visits | Choice and adaptation, dose and reach, attitudes, current practice, quality, and satisfaction | T1, T2 | T0a, T2 | T0a, T2 | T0a, T2 | T0a, T2 | T1, T2 | CRF, questionnaire, minutes (InDemA) | |
Pro re nata medication | Choice and adaptation, dose and reach, current practice, quality and satisfaction | T1, T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | T1, T2 | CRF, questionnaires, minutes | |
Shared goal setting | Choice and adaptation, dose and reach, attitudes, current practice, quality, and satisfaction | T1, T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | T1, T2 | CRF, questionnaire, minutes (InDemA, Koverdem, PSAT) | |
Key elements of interprofessional collaboration | |||||||||
Interprofessional communication | Attitudes, current practice, quality, and satisfaction | T1, T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | – | CRF, questionnaires (CPAT, Koverdem) | |
Involvement of NHR | Current practice, quality, and satisfaction | T2 | T0a, T2 | T0a, T2 | T0a, T2 | T0a, T2 | – | CRF, questionnaires (ZAP) | |
Contribution of involved professions | Attitudes, current practice, quality, and satisfaction | T1, T2 | T0a, T2 | – | – | T0a, T2 | – | Questionnaires (CPAT, InDemA, Jefferson Scale, PSAT) | |
Coordination of care decision and care planning | Attitudes, current practice | – | T0a, T2 | T0a, T2 | – | T0a, T2 | – | CRF, questionnaires (InDemA) | |
Further domains related to interprofessional collaboration and medical care | |||||||||
General interprofessional collaboration | Attitudes, quality and satisfaction, time resources | T1, T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | – | CRF, questionnaires (InDemA, Koverdem) | |
General (medical) care for NHR | Quality and satisfaction utilization of emergency or hospital services (self-reported changes), adverse outcomes | T2 | T2 | T2 | T0a, T2 | T2 | – | CRF, questionnaires (ZAP, EUROPEP) | |
Further outcomes | Staff outcome, marketing outcome | – | – | T0a, T2 | – | – | – | CRF | |
Contextual factors | |||||||||
Meso: organizational level | Time resources | T1, T2 | – | – | – | – | – | Minutes | |
Leadership and work environment | T1, T2 | T2 | T0a, T2 | – | – | – | Questionnaires (PES Nursing Work Index, NoMAD), minutes | ||
Financial and staff resources | T1, T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | – | CRF, questionnaires, minutes | ||
Structures of collaboration and medical care | Attitudes, current practice, quality, and satisfaction | T1, T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | – | Questionnaires (InDemA adapted) | |
GP office and NH characteristics | – | – | T0a, T2 | – | T0a, T2 | – | CRF, questionnaires (Koverdem), minutes | ||
Micro: staff level | Sociodemographic characteristics of all persons involved in implementation | T0b | T0a, (T0b), T2 | – | – | T0a, (T0b), T2 | T0a, (T0b) | Questionnaires, minutes | |
Expected effects of high quality RN-GP collaboration | – | T0a, T2 | T0a, T2 | – | T0a, T2 | – | CRF, questionnaires (Koverdem) | ||
Competences of RNs, GPs, and IPAV | T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | – | CRF, questionnaires (Koverdem), minutes | ||
Micro: NHR level | Utilization of GP office (formal characteristics) | – | – | – | T0a, T2 | – | – | Questionnaires (ZAP) | |
Family involvement in medical care | – | – | – | T0a, T2 | – | – | Questionnaires (Koverdem) | ||
Multiple levels | Unmet implementation support needs (IPAV) | T1, T2 | – | – | – | – | – | Questionnaires | |
Other factors (open-ended questions) | T0b, T1, T2 | T0a, T2 | T0a, T2 | – | T0a, T2 | T1, T2 | Questionnaires, minutes |