Table 2 Overview of implementation strategy
Implementation strategy | Description |
|---|---|
Plan | |
 Gather information | ∙ Co-design process ∙ Literature review to identify barriers and enablers to implementing trauma-informed care in health settings ∙ In-depth interviews with a selection of ward staff |
 Select strategies | ∙ Develop implementation strategy components based on co-design process and literature review ∙ Implementation strategy updated |
 Build buy-in | ∙ Presentations to ward staff to introduce initiative and provide rationale ∙ Establish steering group including research team, ward leadership, ward clinicians, and patient advocates ∙ Bi-monthly steering group meetings ∙ Internal media to promote the initiative |
 Initiate leadership | ∙ Steering group includes ward leadership ∙ Champions identified as leaders within the wards |
Educate | |
 Develop materials | ∙ Design and produce online training module together with ward staff and educational design experts ∙ Update assessment forms to include screening for trauma-related needs ∙ Develop social work follow up protocol together with social work team |
 Educate | ∙ Provision of online training module ∙ Provision of in-service trainings to complement online module ∙ Provision of advanced Champion training ∙ Champions engage in regular supervision with expert psychologist, are provided with resources and professional development opportunities |
 Educate through peers | ∙ Champions build a Learning Collaborative to enhance peer-to-peer learning ∙ Champions diffuse their knowledge via a train-the-trainer approach |
Restructure | |
|  | ∙ Organisational procedure developed to inform trauma-informed care processes ∙ Intake assessment forms amended to include screening for history of psychological trauma ∙ Protocol for social work follow up developed and implemented together with social work team ∙ Behaviour management plans and discharge plans updated to include trauma-related triggers and needs |
Finance | |
|  | ∙ Training provided free of charge with continuing availability after project closure ∙ $750 stipend incentive for Champions for further professional development |
Quality management | |
|  | ∙ Ongoing peer and expert supervision for Champions ∙ Reminders ∙ Monthly quality audits for fidelity checking ∙ Initiative promotion via internal and external media |