Table 4 Summary of organizational attributes of L&IC and their facilitators and barriers

Perceived leadership commitment

Supportive leadership

Hierarchical leadership

Strategic leadership

High turnover of leaders

Lack of alignment of priorities

Open culture

Encouraging behavior

Lack of facilities for reflection

Supportive attitude

Difficult communication

Feedback and reflection

Interaction

Room for team development

Education and training

Excessive workload

Motivation

High turnover of staff

Capacity management

Excessive deployment of external employees

Behavior of team members

Balanced team

Collaboration

Initiating & monitoring change

Process development

Inability to finalize plans

Willingness to change

Lengthy transitions

Feedback loop

Resources & infrastructure

Strategic client focus

Client orientation

Difficulties in changing employee mindsets

Service orientation

Long time needed for change