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Table 3 Examples of social interactions during TRANSIT's facilitation process

From: External facilitators and interprofessional facilitation teams: a qualitative study of their roles in supporting practice change

Social interaction Examples of facilitation roles Related datum
Research group facilitating towards EF Providing ongoing support/reassurance and constructive feedback “… we have contacts in the team, which helps. … [research agent 1] helps me a lot. [Research agent 2] does too, with her advice on administration aspects.” (Interview T3-EF2)
EF facilitating towards Research group Acting as a liaison “… she [external facilitator] really served as a transmission belt with the research team. … More concretely, … [finding out about] budget utilization, rules, how to use them, how to bill. Questions that we had about the clientele, if we had the right to know some information … about our patients” (Interview T12-Physician-IFT1)
EF facilitating towards another EF Providing ongoing support/reassurance and constructive feedback “… With [external facilitator 1], we talk to each other almost every day. We encourage each other. … After our meetings we always call each other to discuss what happened. [External facilitator 1] calls sometimes, also, to say: it didn’t go too well in this meeting, what do you think?… And it’s the same thing with me.” (Interview T3-EF2)
EF facilitating towards IFT Helping to build in the structures/processes to support staff and help them overcome obstacles “… there are three of them, they send each other a lot of documents… because I saw it over the long term, of course: there are documents where they can enter data, but other people will enter other data, so there is a risk of errors, etc., so I proposed a way of working together…” (Interview T9-EF2)
EF facilitating towards organization (family medicine group) Increasing awareness of and helping overcome resistance to change “I explained that it’s normal if they don’t feel they’re on the same level as [the nurse on the IFT]. I highlighted the importance of the case management nurse. [The IFT nurse] had suggested that I discuss the following items with them: talk about the indicators… that most indicators are covered if they use the tools provided by TRANSIT… (EF Field notes T9-EF1-on FMG4)
EF facilitating towards other external change agents Meeting actors of change outside regular meetings “…we also had a meeting with the nutritionists, which we organized in June… Also on that day, we had the pharmacists, the family medicine group pharmacists …” (Interview T6-EF1)
IFT facilitating towards EF Providing feedback about implementation “… it’s the nutritionist who keeps me informed mostly, who calls me and says: I spoke with [the kinesiologist], I spoke with [the nurse]… these are the problems…” (Interview T9-EF2)
IFT facilitating towards IFT Discussing specific cases/experiences within the scope of the project “What is interesting and new at this fourth meeting, it’s that there are case discussions quickly brought up and presented by [the nurse] informally—i.e. it is integrated within discussions planned in the agenda—others propose ideas – solutions.” (EF Field notes T6-EF2 on IFT3)
IFT facilitating towards organization (family medicine group) Creating an open, supportive, and trusting environment conducive to change [About receptionists/administrative assistants giving access to patient files:] “Int: So there is no resistance in the clinic at this level, like people saying, ‘Well, who are you to take my file?’ Kinesiologist: We introduced ourselves to the receptionists.” (Interview T6-Kinesiologist-IFT3)
IFT facilitating towards other external change agents Advocating for resources and change “About external community pharmacists… those under my commercial banner, many have approached me… to get details, but still, it’s all about communication…” (Interview T6-Pharmacist-IFT4)