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Table 9 Site D summary

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

Evidence

Teamwork*

Communication

Leadership

-Negative attitude toward algorithm

-Organized &cooperated with each other

-Adequate communication about workload and patients

-Middle manager (MM) did not micromanage and allowed fair amount of autonomy to ACCs

-Great belief in clinical judgment of clinical pharmacists

-Worked together for long time

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

-MM noted there is change fatigue

-Discomfort with being asked to adopt an EBP

-Strong identification as a team with shared values and practices.

-Communication between ACC team and leadership was rare

-MM remained noncommittal regarding support of the ACCII

-Relatively unaware of ACCII project

-Team itself cited teamwork as their great strength

  1. *Most influential contextual factor.