Table 4.
Municipalities | ||||||
---|---|---|---|---|---|---|
A | B | C | D | E | F | |
PaTH in use in full scalea | Elements of PaTH in usea | PaTH not in usea | ||||
Makes sense (coherenceb) | ||||||
Expecting PaTH to be useful | Yes | Yes | Yes | Yes | Yes | Yes |
Regular staff understood how to use PaTH | Mixed | Mixed | Mixed | Mixed | Mixed | Mixed |
Commitment and engagement (cognitive participationb) | ||||||
Sustained leadership | Yes | Yes | No | No | No | No |
Practice in using checklists | Intensive | Intensive | Minimal | Minimal | Minimal | Minimal |
General attention to PaTH at workplace | Yes | Yes | No | Nurses only | No | No |
Facilitating use of PaTH (collective actionb) | ||||||
Extra personnel resources | Yes | Yes | No | Yes | No | No |
Major competing priorities | No | No | No | No | Yes | Yes |
Usability in electronic health record | Good | Fair | Poor | Poor | Poor | Poor |
Working schedule facilitated for PaTH | Yes | Yes | No | No | No | No |
Checklists incorporated in daily routines | Yes | Yes | No | No | No | No |
Value of PaTH (reflexive monitoringb) | ||||||
Impact on collaboration with the hospital | Mixed | Mixed | No | No | No | No |
Impact on collaboration with GPs | Yes | Yes | No | Yes | No | No |
Impact on service quality | Yes | Yes | No | Yes | No | Yes |
Value for individual nurse/nursing assistant | Yes | Yes | No | No | No | No |
Valued as a management tool | Yes | Yes | No | Yes | No | No |
aAssessed 24 months (B–F) and 32 months (A) after introduction of PaTH in the municipalities
bCore constructs of the Normalization Process Theory