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Table 4 Outcomes for the project by type

From: Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project

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