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Table 2 In-hospital observation guide for observers

From: Feasibility and implementation fidelity of a co-designed intervention to promote in-hospital mobility among older medical patients—the WALK-Copenhagen project (WALK-Cph)

In-hospital intervention components

Observations

Welcome folder

Do health care staff hand out welcome folders to patients on admission? (S)

 Is the folder introduced with a focus on mobility during and after hospitalization and by whom?

WALK-plan

Do health care staff/physicians contact patients regarding WALK-plan and physical activity during hospitalization? (S/P)

Are WALK-plans handed out to patients? By whom? (S/P)

During rounds, do health care staff talk to the patients regarding WALK-plans? (S)

Do patients follow their WALK-plans? (H)

Who attend board meeting at 1 pm? (S/P)

Are WALK-plans mentioned at the board meetings? (P)

At board meetings, do physicians inform about the WALK-Cph intervention and do they follow up on prescriptions? (P) Do physicians express challenges regarding prescription of WALK-plans? (P)

Do those responsible for implementation of the intervention mention the intervention at board meetings? (P)

WALK-path

Do health care staff/physiotherapists contact patients regarding use of the WALK-path? (S)

 How are patients motivated and by whom?

Are patients introduced to the WALK-path and the exercises? (S)

 How are patients introduced and by whom?

Do patients go to the WALK-path/Are patients accompanied to the WALK-path? (S/H)

 How are patients accompanied and by whom?

Do patients exercise independently by the WALK-path? (H)

 If they don’t, why not?

Posters with exercises

Do health care staff contact patients regarding use of exercises on posters? (S)

 How are the patients motivated and by whom?

Do the patients exercise guided by the posters? (S)

Self-service on clothesa

On admission, do health care staff introduce patients to the wardrobes and self-service on clothes on admission and do they show the patients the location of the wardrobes? (S)

Do health care staff contact patients regarding self-service on clothes? (S)

 How are the patients motivated and by whom?

Do patients collect clothes independently/are patients assisted to collect clothes? (S/H)

 Who assist patients and how?

Self-service on beverages

On admission, do health care staff introduce patients to self-service on beverages in refrigerator and by beverage cart and do they show patients the location of the refrigerator / beverage cart? (S)

Do health care staff contact patients regarding self-service on beverages? (S)

 How are the patients motivated and by whom?

Do patients collect beverages independently? (H)

 If patients are assisted, who assists?

Discharge with a WALK-plan

This component was not observed but assessed via patient records

  1. aThis component was not a part of the intervention in department Y; (S) observer follows staff, (H) observer sits in hallway, (P) observer follows physician, and (O) observer is in staff office