Table 2.
Final coding tree
| Themes | Interviewsa | Sub-themes | |
|---|---|---|---|
| Category 1: Staff experience of implementing the trial intervention | |||
| 1 | Extra work but rewarding | 27 | |
| 2 | Team practice changes | 24 | |
| Changes to usual care | |||
| Category 2: Barriers to intervention implementation | |||
| 3 | Team challenges | 19 | ` |
| 4 | Staffing challenges | 37 | |
| 5 | Organisational or workplace barriers | 28 | |
| The acute model and culture | |||
| Barriers to ASU access: | |||
| Competing priorities | |||
| Physical environment barriers | |||
| 6 | Staff attitudes and beliefs | 32 | |
| Not ‘on board’ | |||
| Beliefs about roles and capabilities | |||
| Beliefs about consequences | |||
| 7 | Patients’ barriers | 35 | |
| Acuity, instability and complexity | |||
| Severity of stroke | |||
| Fatigue | |||
| Family anxiety | |||
| Category 3: Overcoming implementation barriers | |||
| 8 | Teamwork central to success | 43 | |
| Communication and coordination | |||
| 9 | Getting staff ‘on board’ | 35 | |
| Staff education and training | |||
| Leadership for change | |||
| 10 | Working differently | 29 | |
| ‘This is what we do here’ | |||
| Shifting control | |||
| Staffing model changes | |||
| Dealing with fatigue | |||
anumber of interviews containing data supporting the theme