Table 3 Feasibility outcomes

PDSA1 - awareness drive

1) WhatsApp messages were sent to all staff and educational posters were displayed in all clinical areas, within the surgical department on a weekly basis from the start of the cycle for three consecutive weeks (yes/no)

2) WhatsApp messages were sent to all staff and educational posters were displayed in all clinical areas, within the surgical department on a weekly basis from the start of the cycle for three consecutive weeks (yes/no)

3) The required number of responses to assess the awareness drive has been collected for each type of outcome (implementation and process, as described in Table 4 and Fig. 3), within the time allocated (yes/no).

PDSA2—training package:

4) The training workshop and at least two supervision sessions have been delivered within the time allocated to at least 90% of potential participants (yes/no)

5) The required number of responses to assess the training package has been collected for each type of outcome (implementation and process, as described in Table 4 and Fig. 3), within the time allocated (yes/no).

PDSA3—audit and feedback:

6) The audit and feedback cycle has been set up by the end of PDSA2 and has been undertaken by the hospital matron team at least two times within the time allocated (yes/no).

7) The required number of responses to assess the audit and feedback cycle has been collected for each type of outcome (implementation and process described in Table 4 and Fig. 3), within the time allocated (yes/no)

8) The research team was able to access patient files and capture the data needed to evaluate effectiveness of this project at all three time points (baseline, endline, and for sustainability at 6 months after implementation) (yes/no).