Table 2.

Recommendations for organisational change in hospitals

		Explanation	Exemplar quote
1.	Engage actors	Staff, patients, families, community members should be engaged in the move. For example, certain staff can be used as ‘champions’ to address concerns and inform co-workers about the new build.	“I was involved in this part of the build, so it gives a bit of ownership to the new unit”
		This may foster commitment, a sense of ownership, renewed motivation, engagement in work and excitement that may aid in the smooth transition and adoption of the new build.	“We need people who are keen, committed and positive about the move and able to support staff in that transition.”
2.	Plan and train	Hospital staff suggested that having a concrete plan and training staff for the new facilities is essential. Planning and training will give staff the opportunity to acclimatize to the new environment and reflect on how it will change their ways of working	“I think it’s really important that we be organised so that staff are well oriented and ready for the move rather than just moving and staff are not ready for it”
3.	Learn from the past	This hospital redevelopment is part of a multi-stage project similar to other hospitals. Hospital staff highlighted that individuals running this project must learn from the issues that occurred in the first stage of the redevelopment, as well as the experiences of other hospitals.	“I’ve been across to […] and spoken to them because they’ve come from a very similar thing… Just looking at what challenges they had… learn from their experiences.”
4.	Increase managerial engagement	Hospital staff in more junior positions expressed a lack of collaboration with executives and a lack of communication regarding elements of the redevelopment process. There was a general sense of disconnect between hospital management and staff, expressed by front-line clinicians.	“I think there probably needs to be more collaboration from above, as in more information because it’s like this is what’s happening. And you’ve had no involvement in the process. I think that’s wrong.”