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. 2019 Aug 14;19:574. doi: 10.1186/s12913-019-4355-z

Table 2.

Elements of Collective Action, their Theoretical Definition, and their Grounded Usage

Elements of Collective Action Theoretical Definition Grounded Sub-Categories
Contextual Integration “The fit between the new intervention and the overall organizational context” [47]

• Addressing regulatory concerns about documentation requirements

• Making a template note

• Using the electronic medical record

Skill-Set Workability “The fit between the new intervention and existing skill sets” [47]

• Sharing the note

• Matching physician and scribe roles

• Deciding when to scribe

Interactional Workability “The impact a new intervention has on interactions, particularly the interactions between health professionals and patients” [47]

• Learning and managing differences and preferences between physicians and scribes

• Noticing changes in interactions with patients

Relational Integration “The impact of the new intervention on relations between different groups of professionals; includes issues of power and trust” [47]

• Maintaining interprofessional connections between the physician and scribe

• Encouraging interpersonal connections between the scribe and patient

• Trusting those connections to support primary care practice