Coherence ‘The significant qualities DLDA) | Cognitive participation ‘Enrolment and engagement of individuals and groups’ | Collective action ‘Interaction with already existing practices’ | Reflexive monitoring ‘How a practice is understood and assessed by actors implicated in it’ |
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Differentiation. Understanding the difference between DLDA and ‘the old fashioned way’ of working in a psychiatric nursing context. | Initiation. The participants’ motivation in trying to incorporate the DLDA Tool. | Interactional workability. Operating DLDA. | Systematisation. The participants’ judgement of DLDA regarding usefulness and effectiveness. |
Communal specification. The process through which users through teamwork share and create an understanding of this new practice. | Enrolment. The work participants do to organise themselves and their co-workers in the practice of DLDA. | Relational integration. Participants understandings of DLDA not only being aware of how and when to use DLDA, but also understanding the expressions of other staff members. | Communal appraisal. Communal appraisal regarding the outcomes and values of DLDA. |
Individual specification. The process in which users create an understanding of the new practice. | Legitimation. The belief that DLDA is right for the context in terms of being a needed complement to existing tools and approaches. | Skill-set workability. Refers to how DLDA is conducted and distributed. This will influence how the work is defined and divided between participants. | Individual appraisal. Individual appraisal regarding the outcomes and value of DLDA. |
Internalised meaning. The coherence of DLDA was based on the meaning users collectively invest in it. | Activation of DLDA. What the participants could do together to improve conditions for DLDA to be sustained and become part of daily practice. | Contextual integration. The incorporation of DLDA into a social context of the current wards. | Reconfiguration. Suggestions from participants that aim to modify and enhance the utility of the DLDA Tool. |