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Table 3 Conceptual framework concepts and operationalization

From: Study protocol testing toolkit versus usual care for implementation of screening, brief intervention, referral to treatment in hospitals: a phased cluster randomized approach

Concepts

Operationalized

Timing

Antecedents

Organizational attributes (SC)

Program development

Readiness

Attributes of nurses (RN)

Before implementation

Adoption

SBIRT Knowledge (SN)

Post training

Brief Intervention Adherence and Competency Scale (observation of SN by SC)

Post training

Implementation

Smoking Cessation Counseling Scale (RN)

During implementation

SBIRT Use and time estimates for each component (SN)

Post implementation, 5 randomly selected days

Implementation fidelity assessment survey (SC)

Post implementation

Monthly worksheet (SC)

Continuously

Consequences

SBIRT component documentation in medical record (electronic data abstraction and SC manual data abstraction)

Baseline, 6, and 12 months

Time estimates for each component delivery (SN)

Post implementation, 5 randomly selected days

Training details (e.g., number trained, meeting time, administrative time, etc.) with implementation fidelity assessment survey (SC)

Post implementation

Barriers, facilitators, lessons learned through interviews (SC)

Post implementation

End of data collection

  1. SC site coordinator, RN All direct care nurses on study unit, SN all trained nurses