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Table 3 Reference guide for mapping barriers with appropriate intervention activities

From: Mapping barriers and intervention activities to behaviour change theory for Mobilization of Vulnerable Elders in Ontario (MOVE ON), a multi-site implementation intervention in acute care hospitals

 

Barriers

Intervention activities

Capability

• Attitudes and beliefs about mobilization

• Classroom education

• Lack of knowledge about the importance of mobilization

• Follow-up education (e.g. one-on-one coaching)

• Perceived lack of skills to implement intervention

• Staff and patient posters

• Fear of injuring patient

• Patient pamphlets/handouts

• Little to no knowledge of patient’s baseline or current mobility status

• Display

• Patient/family beliefs about mobilization

• Promotions

 

• Seniors’ fair (contest)

• Volunteer activities

Opportunity

• Time constraints and heavy workload

• Leadership activities

• Lack of clarity regarding roles and responsibilities

• Huddles

• Lack of standard mobility documentation processes

• Staff meeting/rounds

• Presence of other priorities and initiatives on the unit

• Promotions

• Existing climate/culture of unit

• Reminders

• Lack of communication between health-care providers regarding patient’s care plan

• Mobility champions

• Patient lack of personal mobility aids

• Volunteer activities

• Lack of resources

• Documentation

• Lack of accountability

• Equipment

• Patient’s acuity

 

Motivation

• Attitudes and beliefs about mobilization

• Reminders

• Resistance to implement intervention

• Follow-up education (i.e. one-on-one coaching)

• Lack of clarity regarding roles and responsibilities

• Mobility champions

• Existing climate/culture of unit

• Audits

• Lack of accountability

• Documentation

• Patient/family beliefs about mobilization

• Leadership activities

• Patient lack of motivation

• Patient social activities

 

• Volunteer activities