Table 2 Elements of Collective Action, their Theoretical Definition, and their Grounded Usage
Elements of Collective Action | Theoretical Definition | Grounded Sub-Categories |
|---|---|---|
Contextual Integration | “The fit between the new intervention and the overall organizational context” [47] | • Addressing regulatory concerns about documentation requirements • Making a template note • Using the electronic medical record |
Skill-Set Workability | “The fit between the new intervention and existing skill sets” [47] | • Sharing the note • Matching physician and scribe roles • Deciding when to scribe |
Interactional Workability | “The impact a new intervention has on interactions, particularly the interactions between health professionals and patients” [47] | • Learning and managing differences and preferences between physicians and scribes • Noticing changes in interactions with patients |
Relational Integration | “The impact of the new intervention on relations between different groups of professionals; includes issues of power and trust” [47] | • Maintaining interprofessional connections between the physician and scribe • Encouraging interpersonal connections between the scribe and patient • Trusting those connections to support primary care practice |