Evaluation of the Encouraging Better Practice in Aged Care (ebpac) Initiative Final Report

APPENDIX 3 - NATIONAL ROLL-OUT PROJECTS: STAKEHOLDER INTERVIEW REPORT

Methodology

At least three months after attendance at a workshop, participants were contacted via telephone to participate in an interview about the implementation of the initiatives relating to the two national roll-out projects. A sampling framework was developed (see section 5.1.1 in progress report four) to ensure that a representative sample of services was selected by stratifying for jurisdiction, geographic location and size. Telephone interviews were carried out as follows:

Champions for Skin Integrity (CSI): a total of 40 interviews were completed between 16 October 2014 and 13 January 2015

Palliative Approach Toolkit: A total of 31 interviews were completed during 7 January 2015 and 21 January 2015.

Summary of results

Post workshop implementation results demonstrated that over half of participants indicated that their facility was implementing the initiative. The level of implementation of the toolkits ranged from partial to full implementation and the majority of participants felt the initiatives had been implemented as planned. The majority of participants were also positive about the toolkits.

Participants felt that the use of evidence-based practice, staff skills and knowledge and clinical leadership had improved as a result of the initiatives. Participants also felt the initiatives were sustainable although not necessarily at the same level of implementation.

Barriers to implementation appeared to relate to staffing: fewer staff trained, staff turnover (loss of knowledge), competing priorities and organisational factors. Facilitators of implementation appeared to be the presence of trained and committed staff, more staff trained, supportive management/organisational style.

Participants generally thought the aged care sector was receptive to evidence based practice but also saw needs for both wound management and palliative care in the aged care sector.

Champions for Skin Integrity (CSI): Telephone Interview Results

A total of 40 interviews were conducted with representatives from aged care facilities who sent staff to CSI toolkit training. The final sample of interviewees included participants from five states, NSW, Queensland, SA, Victoria and WA. Attempts were made to recruit participants from Tasmania and Northern Territory, however, numbers of training attendees in these states/territories were small and participation in the interview was voluntary. No RACFs were willing to participate in an interview in these states/territories. Table below provides an outline of numbers of interviewees from each state. The sample contained slightly more Rural/Regional RACFs than Metropolitan RACFs. The total number of small and large facilities was the same for all states combined.

Table Participants by state, location and size of RACF

State	number	Rural/Regional	Metropolitan	Large	Small
NSW	7	4	3	3	4
Queensland	7	5	2	3	4
SA	10	4	6	4	6
Victoria	11	6	5	7	4
WA	5	3	2	3	2
Total	40	22	18	20	20

Participants were asked at what level of implementation their facility was at. The majority of facilities (57.5%) had commenced implementation or had fully implemented the toolkit.

Twenty percent of RACFs were planning to implement the CSI toolkit and 20% had no plans to implement the toolkit.

Table Implementation by state

	NSW	Qld	SA	Vic	WA	Total
No plans to implement	2	2		3	1	8
Planning to implement		1	1	6		8
Commenced	5	3	4	2	4	18
Fully implemented		1	4			5
(blank)			1
Total	7	7	10	11	5	40