We are not aware of any other studies that have tracked the implementation, facilitation and outcomes of organisational development initiatives.
The first component (2 days) will include basic research training: study design, confidentiality, ethics, informed consent, recruitment, survey implementation, facilitation skills for weekly meetings.
We thank everyone within the implementation, facilitation, research and administrative teams in Mwanza and in Liverpool; in particular Gilbert Simbila, Medard Rwakatare, Godwin Mmassy, Joseph Charles, Nicolaus Shilangila who were TAs over the project period.
Lastly, they provided limited technical input for the implementation and facilitation of a few small projects aimed at testing new approaches to address specific MHM gaps identified, including generating learning on the process for integrating new MHM activities within existing operations and the acceptability of these approaches to the target population.
Although not explored in this study, another compelling theme apparent in the interview data warrants further examination, namely the influence of instructors' beliefs about teaching and learning on instructional decision-making and practices, particularly in the implementation and facilitation of active learning.
The program structure and approaches to implementation and facilitation were gradually formed, based on assumptions on the importance of interactive learning and a high degree of transparency.
The questionnaire comprises six thematic areas: ▪ previous experience with paediatric palliative care ▪ disposition to provide palliative care for children and adolescents ▪ perceived barriers in the implementation ▪ facilitations and incentives for the implementation ▪ professional role of the general paediatrician within the paediatric palliative care network ▪ demographical data.
Specifically, we examined the impact of the QI based program on clinician's perceived self-efficacy in caring for older adults and the relationship of implementation support and facilitation on perceived success.
The program, entitled "Advancing Geriatric Education through Quality Improvement" (AGE QI), consisted of a 6-month, QI based, intervention: (1) 2 h didactic session, (2) 1 h QI planning session, (3) computerized decision support design and implementation, (4) QI facilitation activities, (5) outcome feedback, and (6) 20 h of CME.
The Supported Implementation arm used facilitation, an implementation strategy involving supporting and enabling people to change their practice [ 22], to enhance embedding of the SVP.
In addition to the lack of conceptual clarity, only few studies, such as the ones by Hogg et al., Watkins et al. and Baskerville et al., have undertaken process evaluation or studied the implementation of practice facilitation [ 10, 18, 29].
