Table 2 Indicators, constructs, and sample key informant interview questions created to assess appropriateness and acceptability of toolkit implementation

1. Appropriateness

is the perceived fit and compatibility of the toolkit relative to the current organization and operation of the facility

• Did you notice that there were any things about the toolkit that didn’t apply or didn’t really work at your facility?

• What changes could have been made to this section of the Toolkit (or previous parts) to better meet the needs at the facility?

2. Acceptability

refers to the emotional and cognitive perceptions of the toolkit by the participants and is further defined by the constructs below

See constructs listed below

Affective attitude

refers to users’ feelings about applying/implementing the toolkit

• How would you describe your ability to identify areas for improvement in environmental cleaning at your facility?

• How did you find your role as […] during this Section of the toolkit?

Burden

refers to the amount of effort required to complete the toolkit

• Did parts of this Section require too much effort or time from the team members?

Experience

refers to the successes and challenges encountered while using the toolkit

• Which tools of this Section worked well? Was there anything that was confusing?

Intention

refers to the willingness of the user to participate in the toolkit process

• What was your role during this part of the Toolkit?

Opportunity costs

refers to time and resources perceived as lost by the facility because of using the toolkit

• Did the time dedicated to the Toolkit cause you to not be able to complete your regular work duties?

Perceived effectiveness

refers to the extent to which the intervention is perceived as likely to achieve its purpose

• What would you say this part of the Toolkit accomplished?