Table 4 Outcomes for the project by type
Outcomes | Type of outcome/description | Measurement method(s)/tools | Measurement time point(s)/time period |
|---|---|---|---|
Implementation outcomes | |||
Acceptability | Perception amongst stakeholders that the intervention is agreeable | AIM questionnaire [46] and FGD | After each PDSA cycle |
Appropriateness | Perception amongst stakeholders of the fit and relevance of the intervention to the local context | IAM questionnaire [46] and FGD | After each PDSA cycle |
Feasibility | Extent to which an intervention can be successfully performed | FIM questionnaire [46] and FGD | After each PDSA cycle |
Uptake of nursing documentation framework (adaptation) | % of daily nursing reports that are recorded using nursing documentation framework | Pre-existing data collection of information from patient notes/RedCap Tool | After PDSA2, PDSA3, endline, sustainability assessment 6 months after the end of the project |
Fidelity of application of nursing documentation framework | % of each section completed within the framework Information recorded within each section is relevant | Pre-existing data collection of information from patient notes/RedCap Tool | After PDSA2, PDSA3, endline, sustainability assessment 6 months after the end of the project |
Implementation strategy outcomes | |||
Accessibility of information | To find out if the posters were seen and WhatsApp messages received | Awareness drive questionnaire | After PDSA1 |
Impact of information | Perception of the messaging and posters, the impact that the messaging and posters had on you (remember, navigate, easy-to-use information) | Focus group discussion (FGD) | After PDSA1 |
Impact of supportive supervision | Perceptions of nurses to 1-to-1 sessions with supervisors | PSS questionnaire [47], qualitative interviews | After PDSA2 |
Impact of audit and Feedback cycle | Perceptions of health staff to audit and feedback | Qualitative interviews | After PDSA3 |
Process outcomes related to training | |||
Level 1: reaction | Extent to which participants find the educational materials and delivery of them to be favourable, engaging, and relevant to their job | Awareness drive and training workshop questionnaire | After PDSA1, PDSA2 |
Level 2: learning | Extent to which participants acquire the intended knowledge, skills, attitude, confidence, and commitment to good documentation practice | Awareness drive and training workshop questionnaire | After PDSA1, PDSA2 |
Level 3: behaviour | The extent to which participants apply on the job what they learned | Pre-existing data collection of information from patient notes/RedCap Tool | After each PDSA (data collected as part of compliance and completeness outcomes listed above) |
Effectiveness outcomes | |||
Compliance of Nursing daily report | % of shifts nursing daily report completed (as per current hospital policy) | Pre-existing data collection of information from patient notes/RedCap Tool | Baseline, endline, sustainability assessment 6 months after the end of the project, each PDSA cycle |
Completeness of nursing daily report form | % of completed compulsory fields on daily nursing report (i.e. patient ID, DOB/age, sex, name, patient assessment nursing report, nurse name, nurse signature, nurse designation) | Pre-existing data collection of information from patient notes/ RedCap Tool | Baseline, endline, sustainability assessment 6 months after the end of the project, each PDSA cycle |
Completeness of other documentation | % change of each field on green registration card, yellow admission folder, Sierra Leone Early Warning Score (SLEWS) | Pre-existing data collection of information from patient notes/RedCap Tool | Baseline, endline, sustainability assessment 6 months after the end of the project, each PDSA cycle |