Table 3 Final Programme Theories
Context | Mechanism | Outcome |
|---|---|---|
Health care professionals communicate more with families and carers Medical staff are receptive and available on ward rounds | Families/carers share information opportunities to discuss more of shared communication. The key mechanism related to more opportunities to communicate but the trigger was the openness of the HCP | Reduced complaints Less meetings needed to be arranged with families/carers Building of trust and shared decision making |
HCPs do not feel confident about asking families/carers to leave whilst care is being delivered | The key mechanism and trigger for this negative outcome was the lack of confidence and lack of use/knowledge of available resources e.g. leaflets and charters. | Privacy and dignity is not maintained Staff feel pressured in the presence of families/carers. |
HCP’s are receptive and include relatives/carers in aspects of care | The mechanism related to the openness and willingness of HCP and confidence to engage with relatives/carers encouraging participation | Improved nutrition Improved taking of medication Reduced anxiety of patients Improved quality of care |