Table 2 Descriptive statistics per item and factor loadings initial model1°

Routinization I

1*^#

The new practice is regarded as the standard way to work.

100

3.5

0.9

0.74

2*^#

The new work practice is easy to describe.

102

3.8

0.7

0.46

3

We have developed variations on the new work practice for different situations.

96

3.2

1.0

0.29

4

The new work practice is hard to pass on to others.

100

3.8

0.7

0.20

5*^#

All colleagues involved in the new work practice are knowledgeable about it.

99

3.4

0.9

0.73

6*

Everybody has developed their own way to perform the new work practice properly.

100

3.3

0.9

0.57

7*^#

The work practice has replaced the old routine once and for all.

99

3.3

1.0

0.76

8*

Everyone knows exactly for which tasks and responsibilities they are accountable.

98

3.7

0.7

0.58

9*

Despite the usual exceptions in practice it is not hard to perform the work practice as prescribed.

96

3.3

0.8

0.43

10*^#

Performing the new routine always goes swimmingly well.

96

2.8

0.8

0.57

Routinization II

11*^#

There is little opportunity to adapt the work practice to specific situations.

97

3.6

0.8

0.47

12

The performance is robust even considering external influences outside our control.

91

2.9

0.8

-0.17

13*^#

We are accustomed to the work practice.

94

3.5

0.9

0.85

14

By performing it the work method continuously changes.

99

3.0

0.9

0.02

15

The exact manner of performing the work practice differs per care team.

94

3.2

1.0

-0.13

16*^#

We automatically work according to the new work practice.

96

3.3

0.9

0.71

17

Depending on the situation we adapt the way we perform the work practice.

94

3.5

0.8

0.34

18*^#

We have adjusted our old habits to the new work practice.

96

3.4

0.9

0.54

Routinization III: feedback

19*^#

If my work is not up to standard, my colleagues will comment on this.

95

3.4

0.8

0.47

20*^#

We all keep an eye on potential flaws in the performance.

96

3.8

0.6

0.50

21*^#

Problems in performing the work practice are usually brought up by our team leader.

94

3.4

0.8

0.58

22

Practical ideas for improving the work practice are rarely exchanged among colleagues.

95

3.4

0.9

0.24

23*^#

We often jointly discuss how to handle comments.

90

3.4

0.8

0.48

Institutionalization of Skills

24*

Work practice knowledge and skills are listed in the job requirements in recruitment ads.

88

3.1

1.0

0.56

25*^#

Newly recruited staff is thoroughly introduced to the work practice.

95

3.4

0.9

0.74

26

Our organization expects that all staff can perform the work practice.

98

3.6

0.8

0.32

27*^#

We regularly train all staff in the required skills.

102

3.2

0.9

0.73

28*

Occasionally we set up activities to refresh important skills and knowledge.

97

3.1

1.0

0.59

29*^#

Important knowledge and skills are addressed in performance interviews.

87

3.1

0.9

0.83

30*^#

Knowledge and skills for the work practice are listed in our job descriptions

88

3.1

1.0

0.74

31*^#

In performance interviews goals are set for work practice skill development.

88

3.0

0.9

0.79

Institutionalization of Documentation Materials

32*

All staff is informed that work practice documentation is available.

97

2.9

1.0

0.49

33*

Documentation is accessible to everybody.

100

3.9

0.7

0.40

34*^#

Work practice documentation is always kept in a special place.

99

3.8

0.8

0.59

35*^#

Documentation is easily replaced when lost.

89

3.6

0.9

0.64

36

Documentation is always distributed to new colleagues.

82

2.9

0.9

0.36

37

Documentation is not always kept up to date.

93

3.5

0.7

0.18

38*^#

Documentation is used frequently.

96

3.5

0.8

0.72

39*^#

Work practice documentation is regularly updated following new developments in (long-term) care.

96

3.6

0.8

0.69

40*^#

Documentation is used for updating training.

91

3.6

0.9

0.76

Institutionalization of Practical Materials

41*^#

Materials are almost always available.

96

4.0

0.7

0.45

42*^#

Materials are never in the same place.

92

3.8

0.8

0.61

43*^#

Materials are well-stocked when needed.

91

3.8

0.7

0.67

44

Our materials are often defective.

90

3.9

0.6

0.24

45

Usually materials are replaced when damaged or lost.

86

3.7

0.7

0.27

46*

We always order materials too late.

85

3.7

0.7

0.43

47*^#

Responsibility for the materials is assigned to designated staff.

90

3.7

0.8

0.61

Institutionalization of Team Reflection

48*^#

The new work practice is a regular topic in team meetings.

98

2.9

1.0

0.68

49*^#

In our team meetings we choose our improvement goals together.

95

3.3

0.9

0.74

50*^#

The performance of the work practice is evaluated every now and then (for example once per 3 or 6 months).

96

3.3

1.0

0.83

51*^#

In our team meetings we analyze if we have achieved our improvement goals.

97

3.3

0.9

0.81

52*

Team decisions about the work practice are recorded and made available in minutes or otherwise.

96

3.7

0.8

0.57