Table 8 Site C summary
From: The interplay of contextual elements in implementation: an ethnographic case study
Evidence | Teamwork | Communication* | Leadership |
|---|---|---|---|
-Strain of skepticism about the algorithm | -Organized, cooperated with each other | -Communicated about workload and patients | -Middle manager (MM) supportive of ACC team |
-Belief in clinical judgment of clinical pharmacists | -Knew strengths and weaknesses | -Staff noted communication as a strength | -MM vocalizes skepticism of algorithm; staff are aware |
-Algorithm thought to be good only for training inexperienced staff | -Worked together for common good | -Used all means available to communicate (email, phone, IM, face to face) | -Staff have respect for MM |
-Interested as a group in change and improvement | -Team was safe space to express ideas and concerns | -MM supports sending a staff person to ACCII meetings | |
-Team itself cites teamwork as their great strength | -Communication between ACC staff and leadership effective | -MM had support of pharmacy leadership |