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 |