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Table 1 Matrix of change objectives (Example)

From: Reducing the use of physical restraints in home care: development and feasibility testing of a multicomponent program to support the implementation of a guideline

Behavioral outcome 3 (general): Home care providers who are confronted with a situation where physical restraint use is being considered, asked or is already present, will evaluate the urgency of the situation

 

Complexity of the guideline

Knowledge

Awareness

Skills

Motivation

Self-efficacy

Burden of informal caregiver and family

Presence of family

Communication

Education

PO1a: Recognize the use of physical restraints in a concrete situation

The term ‘physical restraints’ needs to be clearly defined in the guideline.

Know and understand the term physical restraints.

Are aware of the different types of restraint use.

 

Is motivated to recognize physical restraints in home care.

Say they can name five examples of physical restraints.

   

Have received education on the content of the guideline.

PO2a: Make a clinical assessment of the urgency of the healthcare problem

 

Have knowledge of the consequences of physical restraint use on patients, informal caregivers, family and home care providers.

Are aware of the consequences of physical restraint use on patients, informal caregivers, family and home care providers.

Can assess the risks of the patient, informal caregiver, family and home care providers.

Want to improve the quality of care and quality of life.

Want to avoid serious consequences for patient, informal caregiver, family and home care providers.

Say they can make a clinical assessment of the urgency of the healthcare problem.

Know the patient and context factors associated with physical restraint use.

Have a trust relationship with patient, informal caregiver and family.

Know the social support of the patient.

Know how often family is visiting the patient.

Communicate with patient, informal caregiver, family and other home care providers.

Have received education on the consequences and the impact of physical restraint use on patients, informal caregivers, family and home care providers.

  1. a(PO) Performance objectives