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Table 1 Implementation mapping applied in OASI2

From: OASI2: a cluster randomised hybrid evaluation of strategies for sustainable implementation of the Obstetric Anal Sphincter Injury Care Bundle in maternity units in Great Britain

Implementation mapping steps Application in OASI2
1. Conduct a needs and assets assessment and identify adopters and implementers • Review of implementation process and lessons learned in OASI1
• Distinguish between roles of senior staff, implementation facilitators and clinicians
2. Identify adoption and implementation outcomes, performance objectives, and determinants; create matrices of change • Establish roles, objectives and outcomes for senior staff, implementation facilitators, clinicians, and women receiving the care bundle
3. Choose theoretical methods; select or create implementation strategies • Selection of the PARIHS framework, implementation outcomes framework
• Theory of Change (see Additional file 1) and Logic model development (Fig. 4)
4. Produce implementation protocols and materials • Tailoring of ERIC strategies across study arms (see Table 2)
• Co-design of the Implementation Toolkit with reference to clinicians’ and women’s experiences in OASI1, incorporating results from Shared Learning Day and PPI collaboration
5. Evaluate implementation outcomes • Plan evaluation of clinical outcomes
• Plan evaluation of implementation outcomes