Table 7 Context coding framework pre- and post-implementation: Networks and Communication (Case A)

Organisational-Level Determinants

Networks and communications:

The quality of communication within the organisation and relationships amongst its members.

• Hospital documents report that various forms of communication are used within the hospital as a whole (town hall meetings, hospital newsletter, informal meetings with the CEO) and at a local level (staff meetings, WhatsApp groups).

• However, it is acknowledged that most staff do not have a digital identity signifying that their ability to receive information is dependent on their relevant line managers sharing information.

• Hospital documents report a high level of “camaraderie” among staff which is compared to a “family like feeling” in each department.

+ 1

Construct has a mixed effect but predominantly positive and may enhance implementation

• Hospital documents report that various forms of communication are used within the wider hospital (town hall meetings, staff information sessions, communication steering committee)

• From the national survey data relationships appear to be strong within the hospital with 80% agreeing that they receive support from colleagues

• However, communication appears to be an issue within the hospital

 ◦ Although communication appears to be satisfactory within their team (67%) and with their line managers (65%), frontline staff report a lack of inclusive decision making with only 50% feeling that they have input into decisions that affect their work

 ◦ Communication with senior management appears unsatisfactory for most staff (42% satisfied) with only 45% content with the feedback mechanisms within the organisation

0

Construct has a mixed, neutral effect