BOOST 2.0: Feasibility of Using the Nursing Student Workforce to Increase Activity: A Qualitative Study

Area of Science:

• Geriatric Rehabilitation
• Health Services Research
• Implementation Science

Background:

• Subacute geriatric rehabilitation wards require effective interventions to optimize patient recovery and discharge.
• The BOOST 2.0 trial aimed to enhance patient physical activity and functional outcomes within this setting.
• Understanding stakeholder experiences is crucial for successful intervention implementation and sustainability.

Purpose of the Study:

• To explore patient, carer, nursing student, and healthcare worker experiences with the BOOST 2.0 implementation trial.
• To identify factors influencing the uptake and sustainability of the BOOST 2.0 intervention in a geriatric rehabilitation ward.

Main Methods:

• Qualitative study employing thematic analysis.
• Semistructured individual and focus group interviews with 31 individuals and 11 groups.
• Data analyzed using reflexive thematic analysis and presented using the Consolidated Framework for Implementation Research.

Main Results:

• Stakeholders perceived BOOST 2.0 could increase patient physical activity and expedite discharges.
• Nursing students' use for exercise therapy was limited by confidence, experience, and policy barriers.
• Allied health assistants were more favorably perceived by staff and patients due to their ward presence.

Conclusions:

• Insights gained on utilizing alternative health workforces for hospital interventions.
• Further research is recommended to evaluate the effectiveness of diverse clinical workforces in improving patient outcomes.