Page 121 - Demo

Implementation interventions through the lens of Normalisation Process Theory1194measures were tested and the reaction of residents was closely monitored to assess whether this lead to an improvement or not. Directly related to CRI were the implementation interventions Educational Outreach- Treatment (EO-T) and Educational Outreach-General (EO-G). EO-T provided substantive advices, examples and alternatives to speed up phasing out restrictive measures by providing support staff concrete steps to change their behaviour in supporting residents. These steps were formulated in a directive way, for example %u201cBed mat needs to go. Put down the bed fence at the feet. The bed should be at a good height for her. Put her walker nearby.%u201d (group home 6) This allowed staff to get started immediately and experience success. EO-G was mainly used to provide the care team with theoretical background information and arguments to work on phasing out. Phase 5. Audit and Feedback (AF) was mostly used towards the end of MDET. Support staff had been working on reduction of restrictive measures on their own, while keeping in contact with the MDET-expert for advice and evaluation. The expert provided feedback, with the aim of furthering the process. The implementation intervention Reminder(R ) was used in information letters (Distribution Information Materials, DIM) by the coordinator of MDET to remind the care team to update registrations of restrictive measures in the client files. The aim was to permanently record the dismantled restrictive measures and new behaviour of the care team with regard to supporting residents.