Table 4 VOCALISE measure

1.

When it comes to change, information is not circulated effectively on my ward.

2.

I feel confident when delivering new changes.

3.

My whole team is regularly consulted about new ideas for ward practices.

4.

I’m too busy to keep up to date with information about the changes that are happening on my ward.

5.

We can easily fit new changes in with our usual ward practices.

6.

I feel disheartened when others do not want to get involved in changes.

7.

I think that managing risk is more important than delivering new changes.

8.

Changes just increase my workload and make my life harder.

9.

It is not clear how all changes that we are asked to make will really benefit my ward.

10.

My teammates think that there is no point trying to implement some changes because they won’t work.

11.

I find it de-motivating when new changes do not take patients’ wishes into account.

12.

I think that some staff would rather let others take the lead in making changes.

13.

When some staff stop engaging with planned changes resistance spreads through my whole team.

14.

I do not really understand how to deliver some of the changes that are suggested by the management.

15.

Changes are audited to increase their consistent delivery on my ward.

16.

I always challenge team members who are avoiding delivering new changes.

17.

Inadequate staffing prevents changes being successful on my ward.

18.

Poor leadership prevents changes happening on my ward.