Table 4 Themes and sub-themes
Themes and sub-themes | Normalisation process theory concept |
|---|---|
Readiness to change Mobilising teams Authority to implement | Cognitive participation and collective action: Perceived authority of nurse clinical champions to drive change resulted in challenges in achieving collective engagement. |
Fidelity to protocols Engaging with the evidence Adherence versus adaptation | Coherence: Beliefs about the evidence underpinning the protocols impeded the development of a shared understanding about the applicability of aspects of the protocols in the ED |
Boundaries of care Defining professional boundaries Care trajectory | Reflexive monitoring: The extent to which the protocols were implemented was influenced by perceptions of clinical roles and responsibilities throughout the patient trajectory. |