Tailored implementation strategy for the Distress Thermometer

Abstract

English abstract Background: The Distress Thermometer (DT) is a validated screening instrument for cancer patients at a clinical department of a general hospital. Implementation of the DT is not investigated. Tailored implementation is promising. Therefore in this study, we observed the effectiveness of a tailored implementation strategy, based on the Innovation Contingency (IC) model and experiences of this process. Methods: A one group pre- test – post- test study was conducted from January to May 2012. Participants consisted of 44 nurses of the department. Quantitative data was collected using three questionnaires about characteristics of the innovation (WIK) and characteristics of the organization (WOK). Moreover, the Implementation Effectiveness Questionnaire (IEQ) was used. Furthermore, patient files were investigated and the satisfaction of participants is measured before and after the use of the tailored implementation strategy. Qualitative data was collected during four individual interviews about experiences of participants. Results: Overall, the use of the IC model indicated a small but consistent effect. The participants were more satisfied about the DT after implementing the DT using the IC model, according to the different VAS scores. There are found more completed DT in patient files which could be explained as an effect of using the IC model. The outcomes of the individual interviews showed that participants are informed in many different ways and have a positive thought about the DT and the use of the IC model. Overall, differences are mainly occurred on individual level and less on group level.

Conclusions: We can conclude that the use of the IC model showed a small but consistent effect. A tailored implementation strategy might be a good solution taking account of the innovation and the organization. However, it is important to take account into the complexity of tailored implementation strategies.