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. 2020 Oct 30;24(1):53–65. doi: 10.1111/hex.13147

TABLE 3.

Overview of the three‐step process model and who, what, where and outcomes

Three‐step process Who What Where Outcomes
Reaching consensus and prioritizing barriers

First meeting:

2 care user representatives

2 professionals/PREM trainers

1 general quality manager

1 quality of care policy advisor

4 researchers

The wall walk to present outcomes of the problem analysis to discuss their interpretation. Reaching consensus on identified outcomes barriers to safeguard stakeholders’ support.

28 barriers

Second meeting:

1 care user representative

2 professionals/PREM trainers

1 general quality manager

1 quality of care policy advisor

3 researchers

The MoSCoW method for importance and feasibility ranking (scale 1‐5). Prioritize barriers based on importance and feasibility to increasing potential success of strategies. 12 prioritized barriers
Categorizing the prioritized barriers and idealization

Third meeting:

1 care user representative

2 professionals/PREM trainers

1 quality of care policy advisor

3 researchers

Using a mind map to visualize and discuss the relation of prioritized barriers. Categorize barriers through understanding the root causes of the barriers and identifying relations.

Four directions of solution

Fourth meeting:

1 care user representative

2 professionals/PREM trainers

1 team leader

1 quality of care policy advisor

2 researchers

Describing ideal situations for directions of solution per stakeholder group. Idealize directions of solution to uncover stakeholder specific ideals about directions of solution. Shared implementation targets
Composing strategies

Fifth meeting

1 quality of care policy advisor

2 researchers

Compose strategies by analysing notes of previous meetings, and linking these with theoretical concepts. To explore strategy possibilities fitting the formulated shared implementation targets. 12 possible strategies

Sixth meeting

1 care user representative

2 professionals/PREM trainers

1 general quality manager

1 quality of care policy advisor

3 researchers

Presentation of potential strategies using PowerPoint and group discussion. To select draft strategies in discussion with all stakeholders to safeguard their support for further development. 10 draft implementation strategies to be further developed