Table 1 Comparison between the components of the standard and enhanced QI packages
Standard support | Enhanced support | |
|---|---|---|
PReCePT QI toolkit | •Clinical guidance •Preterm labour proforma template •Staff training presentations •Parent leaflet •Posters for display on the unit to raise staff awareness •QI learning log •Project dashboard •Pens, magnets, lanyards and other aide-mémoires to promote MgSO4 to unit staff (available for purchase only) | As per standard support |
Implementation guidance | PReCePT implementation guide | PReCePT implementation guide PLUS PReCePT ‘how-to’ guides, with more specific instructions developed through the pilot phase |
QI training session | Regional level QI training and guidance to adapt materials for local use, cascaded from AHSN | As per standard support |
Regional support | Support from a regional level neonatal lead and AHSN lead | As per standard support |
Local obstetrician champion | Local obstetrician identified by unit to guide and oversee local implementation | As per standard support (named as joint PI, at discretion of local site) |
Funded time for local midwife champion | Funded time of up to 90 h per unit (on average 2 h per week) | As per standard support, PLUS funding for up to 90 extra hours backfill, on average over 12 months |
Funded time for local neonatologist champion | None | Funded time for a local neonatologist PI, working on average 0.5 PA (2 h) per week over 12 months, to provide clinical leadership in local unit (fixed-term contract or secondment from an NHS organisation) (N.B. 0.5 PA backfill could be split with obstetrician PI, at discretion of local site) |
QI coaching | None | Structured coaching in local unit from an experienced QI coach. To include the following: •First visit where the QI coach worked with local unit to create a bespoke implementation plan •Telephone coaching in liaison with the local champion(s), with occasional face-to-face visits as logistics permit •Ongoing dedicated support to help embed the QI toolkit within local unit •Final visit to support local unit to tie up data collection and plan for ongoing sustainability |
Learning events | None | Funding for up to three members of staff from local unit to attend three learning events. These bespoke learning events were held every 2–3 months during the period of implementation and brought together teams from other enhanced support units to share their activity and learning on how they are implementing the PReCePT QI toolkit and working to address issues and challenges |
Collateral funding | None | Provision of a tablet computer to be used by the local midwife champion to micro-coach colleagues, plus a small fund for purchasing study collateral (pens, magnets, lanyards, aide-mémoires), if required |
Celebration event | None | Funding for up to three members of staff from local units to attend a celebration event which brought together teams from all enhanced support units to wrap up the study and to share experiences, learning and successes |