From: Development of an integrative coding framework for evaluating context within implementation science
System Level | Characteristic | Site Description | Construct Rating |
---|---|---|---|
Organisational-Level Determinants | Culture: The norms, values and assumptions of the organisation, the degree of autonomy given to staff and their perceptions of change | âą Hospital reports suggests a culture characterised by openness, trust, and inclusion | +â2 Construct has a positive effect that may facilitate implementation |
Team-Level Determinants | Culture: The norms, values and assumptions of the team, the degree of autonomy given to staff and their perceptions of change. | âą Survey data suggests that there is a hierarchical culture within the team in which staff sometimes feel unheard, unable to speak up, and isolated. 16% also agreed that they feel intimidated by team members' behavior âą Interview data also highlights a hierarchical culture: â⊠Control- âthe consultants are in charge, what they say goes, the consultants make demandsâ-some noted to âpush the boundariesâ â⊠Silo working- âWeâre just so individualâŠit is quite siloedâ, âEveryone just kind of looks after themselvesâ â⊠Staff âafraid to open your mouthâ to a senior member of staff, this âfear factorâ is recognised as impacting the reporting culture within the team â⊠Suggested that senior doctors are âdismissive of any other disciplinesâ, ânever ask my opinionâ âą Despite the hierarchy discussed by most participants, some team members are âsatisfiedâ with the team and feel that âeveryone is listened toâ | â2 Construct has a negative effect and may impede implementation |