In the Plan phase, you will examine existing barriers to practice change and plan to address them using several implementation strategies. All activities, implementation steps, and implementation strategies are listed and linked below. More detailed information can be found in the implementation guide.
|Examine barriers to practice change ||
|Review steps and core strategies ||
This tool lists barriers to practice change for UTI management and treatment that have been identified by LTCHs across Ontario and asks you to indicate whether it is a barrier in your LTCH.
This is a checklist of the implementation steps and core strategies included in the program. More information about each of these steps and strategies is listed below.
This worksheet includes questions related to each of the UTI Program’s steps and strategies. The worksheet will help to document the implementation team’s decisions and the plans for implementing the program within your LTCH.
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Steps and strategies to address barriers and implement new practices
STEP 1: Get buy-in and support
There are four strategies in Step 1 to help you get buy-in for the UTI Program and the practice changes you will be making in your LTCH.
Strategy A: Review and revise organizational policies and procedures
- This strategy ensures that the policies and procedures within your LTCH will support the key practice changes in the UTI Program.
Strategy B: Select and empower champions
- Champions are staff members who can help overcome indifference or resistance among other staff.
Strategy C: Involve local opinion leaders
- Local opinion leaders are well-respected and trustworthy individuals that can support practice change by sharing information about the program or helping to deliver education to staff.
Strategy D: Generate buy-in
- Involving staff in discussions about the problem of antibiotic-related harms can increase acceptance and adoption of the key practice changes and engagement in the program overall.
STEP 2: Educate and develop skills
Changing key practices related to UTI management and treatment requires education for front-line staff, as well as residents and their families.
Strategy E: Deliver classroom education to staff
- Classroom education should be delivered to staff in 30-45 minute sessions (depending on the amount of dialogue). The resources linked below may be used to support these sessions.
Strategy F: Provide information and education to residents and families
- Residents and families may expect to receive antibiotics for non-specific symptoms and they may be concerned if they do not receive them.
Strategy G: Identify and support coaches
- Coaches provide one-on-one education, supervision, assessment, feedback, and emotional support to front-line staff as they adopt the key practice changes in the UTI Program.
STEP 3: Monitor practice and continue to support staff
Once your LTCH has adopted the key practice changes for UTI management and treatment, the UTI Program includes two strategies to support the integration of these practices into day-to-day activities and to ensure sustainability.
Strategy H: Integrate process surveillance
- The process surveillance tool can assist your LTCH to monitor compliance to the key practice changes in the UTI Program.
Strategy I: Distribute and post educational resources to remind staff of key practices
- Reminders are useful when staff and facilities are adopting practice changes.
Note: This program is currently being evaluated; resources may be revised in the future based on evaluation findings. We welcome all feedback to email@example.com on the resources and the implementation strategies we have developed.