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Table 2 Plausible Hypotheses

From: Application of the critical incident technique in refining a realist initial programme theory

 ContextMechanismOutcome
If there is:this enacts:and results in:
PH1Inter-disciplinary focus and Flattened hierarchyUnderstanding of roles & Mutual respect, support and value
Shared decision making and common purpose; self and team efficacy
Increased job satisfaction, higher performance, higher levels of competence, better teamwork and lower feelings of emotional exhaustion.
Breaking down of inter-professional silos; more integrated patient care; connectivity of the team and camaraderie.
PH2Effective Communication:
Opportunities for communication; Communication \skills;
Communication systems
Shared mental models; Clarity of role; Clarity of purposeSituational awareness;
More integrated care; Better intervention outcomes;
PH3Leadership Support & Alignment of team goals with organisational goalsMotivates, empowers and engages staff, creating a sense of team efficacy and a shared sense of responsibility and accountabilityTeam pride; Camaraderie; Connectedness with broader system; Implementation of Intervention; Sustainability of intervention
PH4Credibility of intervention provided by experienced trainers who team members can relate to and is perceived to be comprehensive (right amount of core topics) with application to the healthcare context in which the team works,A sense of confidence and engages and motivates team members with the interventionHigh satisfaction; Increased skills, Increased self and team efficacy, Increased role in safety and translation to practice.
PH5Team composition & Physician involvement- consists of appropriately skilled members including a physician, shares a similar foundational knowledge prior to the intervention and participates in a shared learning experienceShared understanding of the intervention and feel knowledgeable, competent and confident resulting inCredibility of the intervention, translation to practice and sustainability.