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Table 6 Site A summary

From: The interplay of contextual elements in implementation: an ethnographic case study

Evidence

Teamwork*

Communication

Leadership

-Already had a practice algorithm

-Culture of improvement where staff made suggestions

-In constant communication about workload

-New leader

-Knowledgeable and comfortable with EBPs and working with algorithm.

-Organized and cooperated with each other

-Communicated about patients and patient issues

-Soon became an active supporter of the ACCII

-Knew each other’s strengths and weaknesses

-Used all means available to talk (email, phone, Lync messenger, face-to-face)

-Always lets staff attend ACCII meetings

-Worked together for common good

-Site designed tracking system to manage patients before ACCII started

-Team cited teamwork as their strength

  1. *Most influential contextual factor.