Table 1

Pre-implementation staff barriers and enablers

 Role of staffPositive staff attitudes and behaviours‘Encouragement by all staff members for the patient to utilise the trolley’7
Staff assistance and availability‘Staff support to ensure time is available for patients to participate in the activities’13
Staff preparation‘Clear parameters re: the aim behind EE on Wheels’2
 Patient characteristics‘Suitable patient identification e.g. Cognitive and physical ability to use items’5
 Intervention characteristicsVariety and quality of activities‘Variety of choices of activities’8
Activities tailored to patient needs‘Ensuring activities are appropriate for patients’ level of function’3
Ease of access and use‘Clear and simple instructions’6
 Role of staffPoor engagement/uptake‘Staff engagement of process’5
Staff availability‘Availability of volunteer to support’7
Knowledge and skills‘Volunteers may need education regarding dementia etc. on dealing with patients’4
 Patient characteristicsPatient suitability‘Lack of appropriate patients on ward’4
Patient functioning and medical status‘…Patients level of understanding and function’7
 Intervention characteristicsPoor variety‘Poor variety, with resources not interesting for patients’3
 Ward environmentInfection control‘Infection control is going to be a big issue with electronic gadgets’8
Maintenance of activities‘Items may become lost or destroyed’2
Competing treatment demands‘Time - during therapist work hours clash with therapy time’2
Equitable access‘Jealousy from other patients’7
  • EE, environmental enrichment.