Implementing a complex rehabilitation intervention in a stroke trial: a qualitative process evaluation of AVERT

Table 2 Final coding tree

Themes		Interviews^a	Sub-themes
	Category 1: Staff experience of implementing the trial intervention
1	Extra work but rewarding	27
2	Team practice changes	24
			Changes to usual care
	Category 2: Barriers to intervention implementation
3	Team challenges	19	`
4	Staffing challenges	37
5	Organisational or workplace barriers	28
			The acute model and culture
			Barriers to ASU access:
			Competing priorities
			Physical environment barriers
6	Staff attitudes and beliefs	32
			Not ‘on board’
			Beliefs about roles and capabilities
			Beliefs about consequences
7	Patients’ barriers	35
			Acuity, instability and complexity
			Severity of stroke
			Fatigue
			Family anxiety
	Category 3: Overcoming implementation barriers
8	Teamwork central to success	43
			Communication and coordination
9	Getting staff ‘on board’	35
			Staff education and training
			Leadership for change
10	Working differently	29
			‘This is what we do here’
			Shifting control
			Staffing model changes
			Dealing with fatigue

ISSN: 1471-2288