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
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.
Go to the Worksheet
Review Core Strategies
This is a checklist of the core implementation strategies included in the program. More information about each of these strategies is listed below.
Go to the Checklist
Create action plan
This worksheet includes questions related to each of the UTI Program’s strategies. The worksheet will help to document the implementation team’s decisions and the plans for implementing the program within your LTCH.
Go to the Worksheet
Strategies to address barriers and implement new practices
Increase buy-in and support
There are four strategies to help you increase buy-in for the UTI Program and the practice changes you will be making in your LTCH.
Strategy A: Involve local influencers
- Local influencers 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 B: 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.
Strategy C: Align policy and procedures to reflect practice changes
- This strategy ensures that the policies and procedures within your LTCH will support the key practice changes in the UTI Program.
Strategy D: Review how resident symptoms are documented and communicated
- This strategy will help LTCHs understand how the LTCH is doing as the Program is implemented. By tracking information and monitoring for changes, LTCHs may identify areas that require further education/
reminders or supports and create an action plan to improve practice.
Increase knowledge 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
- Education can bring together staff to learn and discuss issues associated with the overuse of antibiotics, symptoms that indicate a UTI, and new organizational processes related to UTI assessment documentation.
- There are different ways to deliver education in your LTCH: classroom education, bullet rounds, online learning platforms, and orientation for new staff.
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: Use coaching to reinforce practices and support staff
- 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.
Monitor practice and give feedback to 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: Keep track of how your home is doing and provide feedback to staff
- Once your LTCH has been monitoring for practice changes, it is important to share these results back with staff to demonstrate how well they are adhering to the practice changes. LTCHs can choose the way they prefer to share this type of feedback with their staff. Some ways that this has been accomplished include:
- Via email
- Sharing results at staff meetings
- Huddles with staff
- 1:1 feedback
- Creating one-page reports or posters or memos
- Share at meetings where this topic would be of interest, such as Professional Advisory Committees (PAC), IPAC Committee, or during Quality Improvement Planning (QIP).
Strategy I: Continue to remind staff of key practice changes
- Reminders are useful when staff and facilities are adopting practice changes.