Table 1 Variables Organized by Project Aims and Conceptual Model
Variable or data elements | Source | Conceptual mapping and purpose |
|---|---|---|
Aim 1: Pre-Implementation Assessment of Intervention Sites | ||
Identification of local champions | Site elements questionnaire (Appendix B) | Capacity: Social roles |
Identification of critical site elements | Capacity: Material resources | |
Potential: Collective contribution | ||
Daily workflow around bacteriuria | Process mapping | Capacity: Social roles and material resources |
Perception of organizational readiness to change | ORCA (Appendix C) | Potential: Collective commitment |
Perception of leadership support of change effort | Capacity: Social norms | |
Social norms | Kicking CAUTI Survey (Appendix D) | Capacity: Social norms |
Self-efficacy | Potential: Individual intention | |
Outcome expectancy | Potential: Individual intention | |
Guidelines familiarity and acceptance | Capacity: Cognitive resources | |
Behavior (self-reported) | Capacity: Cognitive resources | |
Aim 2: Implement the Kicking CAUTI Intervention | ||
Aim 2A: Measure effectiveness of the intervention in terms of clinical outcomes (intervention and control sites) | ||
Number of urine cultures ordered | CDW | Clinical outcomes reflect contribution: sense making, cognitive participation, collective action, and reflexive monitoring |
Number of antimicrobial starts | CDW | |
Number of antimicrobial starts after urine culture | CDW | |
Number of episodes of C. difficile associated disease | CDW | |
Number of urinary source bacteremias | CDW | |
Number of episodes of UTI and ASB | Chart reviewa | |
Percentage of episodes of ASB treated with antimicrobials | Chart reviewa | |
Percentage of episodes of UTI not treated | Chart reviewa | |
Aim 2B: Measure the adoption and fidelity of the intervention process (intervention sites) | ||
Number of cases presented as audit and feedback sessions/total cases per month | Recorded by site champion (adoption) | Capability: Workability |
Number of staff who participate in case presentations/total potential participants per month | Recorded by site champion (adoption) | |
Number of surveys completed/distributed | Manual count (adoption) | |
Method of delivery of case-based audit and feedback | Recorded by site champion (fidelity) | |
Leadership awareness of intervention | % emailed facility reports opened (adoption) | Capability: Integration Contribution: Collective action Contribution: Reflexive monitoring |
Algorithm penetration | Number of pocket cards distributed (adoption) | |
Integration of intervention into existing antimicrobial stewardship program | Annual report includes Kicking CAUTI program or elements (adoption) | |
Aim 3: Conduct a Budget Impact Analysis (Intervention sites) | ||
Clinical utilization costs (pre, during, post) | Time logs, surveys, CDW, HERC, MCAS, literature | Capability: Workability Contribution: Coherence or sense-making |
Intervention costs | ||