Page 142 - Demo

Chapter 5140care shed light on potential barriers to address, emphasising the importance of crafting an implementation plan (Bisschops et al., 2023). We expected that multidisciplinary collaboration in a CoP with care professionals with various background in intellectual disability care and coming from multiple organisations would be beneficial in exchanging implementation knowledge and ideas (Barbour et al., 2018; Gerritsen et al., 2021). While this was indeed an advantage with respect to learning about implementation (Bisschops et al., 2023), we also found a disadvantage in the execution of implementation interventions. In the present CoP, policy staff, care staff and behavioural specialists participated as implementers. Implementers saw it as advantageous to have behavioural specialists conduct the implementation interventions for NAF because of their direct involvement with the selected care homes and their natural leading position within the teams. In contrast, policy staff had to inform other intermediaries about the implementation interventions for NAF. This resulted in delays and uncertainties in the process. Hence, when establishing a CoP with the goal of developing implementation plans and tailored interventions, the critical factor is not solely the multidisciplinary composition but rather the selection of the right implementers, with firsthand involvement in care teams and a team leading position, who can actually make a change within care teams.The ItFits toolkit was believed to provide a work routine leading to carefully considered implementation plans with interventions tailored to each organisational context (Vis et al., 2023). Implementers expressed appreciation for the structured work routine. The final It-Fits module, which involved reflecting on the executed intervention, played a crucial role in gaining insight into what worked well and what did not. Furthermore, the recommendations for specifying implementation interventions (Proctor et al., 2013) were evaluated as valuable. We expected that executing tailored interventions would result in implementing NAF more quickly and efficiently in care teams and result in better outcomes, because determinants that hindered implementation were addressed (Vis et al., 2023). However, implementation interventions met with practical barriers. Hindering factors included Covid-19, illnesses, absences, and departures of care professionals. Moreover, the tailored