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Table 2 Grip strength training programme based on Normalisation Process Theory (NPT)

From: A feasibility study of implementing grip strength measurement into routine hospital practice (GRImP): study protocol

NPT constructs

Training components and topics

Method

Coherence/sense-making

Understand the relevance of implementing grip strength measurement routinely.

What are the cutoff points for grip strength, what to do with low grip strength levels. Introduction to the care plan for patients with low grip strength and enhance understanding the relevance of using the care plan for patients with low grip strength values.

Introduction to Jamar dynamometer + practically measuring grip strength according to the standard protocol.

Present the paperwork that need to be completed in relation to grip strength measurement and use of care plan.

Presentation

Practical demonstration + video on grip strength measurement

Presentation

Cognitive participation

Competence in grip strength measurement using the standardised protocol.

Discussion about how to initiate and adopt grip strength implementation, talk about staff’ initial concerns about implementing grip strength, engage staff in identifying the best way to start and implement grip strength.

Supervised practical session of measuring grip strength of a colleague

Group discussion

Collective action

Reaching a consensus about how to start and maintain implementation.

Group discussion

Reflexive monitoring

Discussion about how to engage staff in reflexive monitoring of grip strength implementation via sharing experiences and providing continuous feedback.

Presentation + group discussion