ORC [17] | Study before implementation [23] | Follow-up study |
---|---|---|
Change efficacy Professionals´ belief in the collective ability to organize and carry out the planned actions involved in the implementation | Increased knowledge Encountering next of kin Safety in palliative care | Increased knowledge facilitates development Increased awareness of communication with next of kin Awareness enables safety |
Consensus in the team Increased interprofessional communication Space for reflection | Enhanced team spirit Increased awareness of the importance of good interprofessional climate Increased self-reflection | |
Change commitment Joint decision to pursue the actions required for the implementation | Vision for the future Opportunities over obstacles Creating routines/guidelines Trust in leadership | Uncertainty about future plans Solution-focused approach Structure of the ‘ship’ Confidence in leadership |
Contextual factors Condition that affects organizational readiness for change such as resources, structure and culture | Insufficient resources and prioritisation Financial resources Parallel development work Lack of time | Barriers in the organization Economy – a brake pad Parallel development work Time limits the improvement work |