Table 1 Overview of study sample for stakeholder analysis
No | Project statusa | System level | Empirical setting | Research study participants | Relevance to Qualityb | Relevance to Resilienceb | Data sources |
|---|---|---|---|---|---|---|---|
1 | Finalised 2013 | Micro, meso, macro | Hospital maternity services | Midwives, Nurses, Doctors, Ward/Unit managers, Clinical directors, Medical directors, Clinic lead | Patient safety; risk assessment. Patient experiences; patient centeredness. | Implementation of quality improvement measures. Organisational capacity for adaptation; resources, organisation. Larger system capacity for adaptation; regulation; framework conditions. | Narrative Interview |
2 | Finalised 2019 | Micro and macro | National regulatory body County Governor’s office | Family carers, Regulatory investigators | Patient experiences; involvement (next-of-kin). Patient safety; adverse events. | Improvements to regulatory methods. Larger system capacity for adaptation; regulation. | Narrative |
3 | Ongoing | Micro and meso | Nursing homes Home healthcare services | Service directors, Nursing home managers, Home healthcare managers, Nurses, Nursing assistants, Enrolled nurses | Patient experiences; involvement. | Development and test of quality improvement intervention. Individual capacity for adaptation; knowledge, competence. Team/unit capacity for adaptation: learning. Organisational capacity for adaptation; resources, organisation. | Narrative Interview |
4 | Finalised 2016 | Micro | Transitional care – hospital admission and discharge | Ambulance workers, Nurses, Doctors, Patients, Family carers | Care coordination; care transitions, collaboration across service providers and care levels. Patient experiences; involvement. | Variation in work practice. Individual capacity for adaptation; knowledge, competence, learning, personal characteristics. Team/unit capacity for adaptation: communication. Organisational capacity for adaptation; organisation, culture, resources. | Narrative Interview |
5 | Finalised 2019 | Micro and meso | Home healthcare services | Nurses, Enrolled nurses, Care assistants, Physiotherapists, Occupational Therapists, Social workers, Home healthcare managers, Project managers, Professional development managers | Patient safety; risk awareness, risk assessment. | Changes to healthcare processes; variation in work practice. Individual capacity for adaptation; knowledge, competence, learning, personal characteristics. Team/unit capacity for adaptation: communication, learning. Organisational capacity for adaptation: resources, organisation, culture. | Narrative Interview |
6 | Finalised 2013 | Micro | Hospital surgical unit (two surgical departments) | Surgeons, Surgical nurses, Anaesthetists, Nurse anaesthetists, Clinic director, Section manager | Patient safety; adverse events. | Variation in work practice; teamwork. Individual capacity for adaptation; knowledge, competence, learning, personal characteristics. Team/unit capacity for adaptation: communication, collaboration, learning. Organisational capacity for adaptation: resources, organisation, culture. | Narrative |
7 | Finalised 2015 | Micro | Transitional care – discharge from hospital to primary care | Nurses, Doctors, Head nurses, Patients, Family carers | Care coordination; care transitions. Patient experiences; involvement. | Variation in work practice. Individual capacity for adaptation; knowledge, competence, learning. Team/unit capacity for adaptation: communication. Organisational capacity for adaptation; resources, culture, organisation. | Narrative Interview |
8 | Finalised 2020 | Micro | Psychiatric in-patient care | Patients, Nurses, Psychologists, Doctors | Patient experiences; involvement, patient centeredness. Patient safety; risk assessment. | Variation in work practice; stakeholder actions and contributions. Individual capacity for adaptation; knowledge, competence, personal characteristics. | Narrative Interview |
9 | Ongoing | Micro | Cancer department in two hospitals | Family carers, Nurses, Doctors, Ward/Unit managers | Care coordination: collaboration across service providers and care levels. Patient experiences; involvement (next-of-kin). | Stakeholder actions and contributions; knowledge-brokering; co-creation. Team/unit capacity for adaptation; collaboration, learning. | Narrative Interview |
10 | Finalised 2020 | Micro and meso | The interface between primary and secondary care – hospitals, nursing homes | Hospital doctors, General practitioners, Nursing home doctors, Nurses, Nursing home managers | Care coordination; collaboration across service providers and care levels, care transitions. | Variation in work practice. Individual capacity for adaptation; competence. Team/unit capacity for adaptation: communication, collaboration. | Narrative Interview |
11 | Finalised 2020 | Micro and macro | Hospital and general practice | General practitioners, Radiologists, Trainee radiologists, Radiographers, Doctor case managers | Care coordination; patient pathways, collaboration across service providers and care levels. | Variation in work practice. Individual capacity for adaptation: knowledge, competence, personal characteristics. Organisational capacity for adaptation; organisation, culture. Larger system capacity for adaptation; regulation, framework conditions. | Narrative Interview |
12 | Ongoing | Micro and meso | Municipal home healthcare services | Nurses, Occupational therapists, Older patients / people, Professional development managers | Patient safety; risk awareness, risk assessment. | Changes to healthcare processes; variation in work practice. Individual capacity for adaptation; knowledge, competence, learning, personal characteristics. Team/unit capacity for adaptation; communication, learning. Organisational capacity for adaptation; resources, organisation, culture. | Narrative Interview |
13 | Ongoing | Macro | Employees at the ministry, the directorate, and the Norwegian board of health supervision | Actors at the macro level at governmental regulatory bodies | Patient safety; risk regulation, risk management process, adverse events. | Improvements to regulatory methods. Individual capacity for adaptation; knowledge. Larger system capacity for adaptation; regulation. | Narrative |
14 | Finalised 2020 | Micro and meso | Nursing homes | Nurses, Nursing assistants, Care assistants, Nursing home managers, Nursing home doctors | Patient safety; adverse events. Care coordination; collaboration across service providers. | Variation in work practice; trade-offs; disruption. Individual capacity for adaptation; knowledge, competence. Team/unit capacity for adaptation; communication. Organisational capacity for adaptation; resources, organisation, culture. | Narrative Interview |
15 | Ongoing | Micro | Adolescent mental health services | Patients, Family carers, Nurses, Ward/Unit managers | Patient experiences: involvement, patient centeredness. | Variation in work practice; stakeholder actions; co-creation. Individual capacity for adaptation; knowledge, competence, personal characteristics. Team/unit capacity for adaptation; communication, collaboration. Organisational capacity for adaptation; resources, organisation, culture. | Interview |
16 | Ongoing | Micro | Transitional care – discharge from hospital to primary care | Patients, Family carers, Nurses, Doctors, Clinical nutritionists, Physiotherapists, Patient organisations | Care coordination; care transitions, collaboration across service providers and care levels. Patient experiences; involvement, patient centeredness. | Variation in work practice; stakeholder actions; knowledge-brokering; co-creation. Individual capacity for adaptation; knowledge, competence, personal characteristics. Team/unit capacity for adaptation; communication, collaboration. Organisational capacity for adaptation; resources, organisation. | Interview |
17 | Ongoing | Micro and meso | Home healthcare services | Patients, Family carers, Nurses, Occupational therapists, Physiotherapists, Home healthcare managers, Service managers, Case managers | Patient experiences; involvement, patient centeredness. | Variation in work practice; stakeholder actions; co-creation. Individual capacity for adaptation; knowledge, competence, personal characteristics. Team/unit capacity for adaptation; communication. Organisational capacity for adaptation; resources, organisation, culture. | Interview |
18 | Ongoing | Micro | Staff development in home healthcare services | Nurses, Healthcare assistants, Professional development managers, Home healthcare managers | Patient safety; risk assessment. | Variation in work practice; development and test of quality improvement intervention. Individual capacity for adaptation; knowledge, competence, personal characteristics. Team/unit capacity for adaptation; communication, collaboration, learning. Organisational capacity for adaptation; resources, organisation, culture. | Interview |
19 | Finalised 2020 | Meso and macro | External assessment prior to ISO certification | External assessors, Hospital managers, Ward/Unit managers | Patient safety, risk management. Clinical effectiveness: effects | Quality improvement measures; organisational development. Organisational capacity for adaptation; resources, organisation, culture. Larger system capacity for adaptation; regulation, framework conditions. | Interview |