AIMS AND OBJECTIVES: To investigate uptake of a @entity764 Protocol (ChIP), examine factors influencing its implementation and identify interventions for promoting its use. BACKGROUND: Failure to treat blunt @entity764 in a timely manner with sufficient @entity1337 , physiotherapy and respiratory support, can lead to complications such as @entity55 and @entity1576 and/or @entity204 . DESIGN: This is a mixed methods implementation evaluation study. METHODS: Two methods were used: 1) identification and review of the characteristics of all @entity1 eligible for the ChIP protocol, and 2) survey of hospital staff opinions mapped to the Theoretical Domains Framework (TDF) to identify barriers and facilitators to implementation. The characteristics and treatment received between the groups were compared using the chi-square test or Fischer's exact test for proportions, and the Mann-Whitney U-test for continuous data. Quantitative survey data were analysed using descriptive statistics. Qualitative data was coded in NVivo 10 using a coding guide based on the TDF and Behaviour Change Wheel (BCW). Identification of interventions to change target behaviours was sourced from the Behaviour Change Technique Taxonomy Version 1 in consultation with stakeholders. RESULTS: Only 68.4% of eligible @entity1 received ChIP. Fifteen facilitators and 10 barriers were identified to influence the implementation of ChIP in the clinical setting. These themes were mapped to 10 of the 14 TDF domains and corresponded with all nine intervention functions in the BCW. Seven of these intervention functions were selected to address the target behaviours. CONCLUSIONS: This study demonstrated how the BCW may be used to revise and improve a clinical protocol in the ED context. RELEVANCE TO CLINICAL PRACTICE: Newly implemented clinical protocols should incorporate clinician behaviour change assessment, strategy and interventions. Enhancing the self-efficacy of emergency nurses when performing assessments has the potential to improve @entity1 outcomes and should be included in implementation strategy. This article is protected by copyright. All rights reserved.

Implementation evaluation and refinement of an intervention to improve blunt XXXX management - a mixed methods study.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['analgesia'] @entity764 :: ('MESH:D013898', 'Disease') :: ['chest injuries', 'Chest Injury'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory failure'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity764 :: (MESH:D013898,Disease) :: ['chest injury']
