. 2021 Jul 31;16:74. doi: 10.1186/s13012-021-01142-y

Table 6.

Summary of review findings for organisation- and system-related factors

Summary of review finding for additional organisation- and system-related factors *Illustrative quote*	CERQual assessment of confidence in the evidence
Social Influence:
Culture of the organisation is seen as an important organisational-related factor with participants reporting feeling more supported to engage in SDM when it is clear that their organisation supports them to do so. [46, 48, 55–57] “‘What is more powerful is the culture of the institution, right? Where I trained before, at a county hospital, we didn’t admit anybody for chest pain… you’d talk to them about the risk and … that was what the institution, and…the population, expected” [56]	Moderate confidence
Leaders engaging in SDM is seen as an important organisational-related factor with participants reporting feeling more supported to engage in SDM when it is clear that their leaders use and support the use of SDM [44, 46, 48, 57] “I know [surgical director] feels pretty strongly that it’s a good tool and was the one who pushed the initial use of it . . . he says to us “make sure you’re using this.” [57]	High confidence

Summary of review finding for additional organisation- and system-related factors
Illustrative quote

CERQual assessment of confidence in the evidence

Social Influence:

Culture of the organisation is seen as an important organisational-related factor with participants reporting feeling more supported to engage in SDM when it is clear that their organisation supports them to do so.

[46, 48, 55–57]

“‘What is more powerful is the culture of the institution, right? Where I trained before, at a county hospital, we didn’t admit anybody for chest pain… you’d talk to them about the risk and … that was what the institution, and…the population, expected” [56]

Moderate confidence

Leaders engaging in SDM is seen as an important organisational-related factor with participants reporting feeling more supported to engage in SDM when it is clear that their leaders use and support the use of SDM

[44, 46, 48, 57]

“I know [surgical director] feels pretty strongly that it’s a good tool and was the one who pushed the initial use of it . . . he says to us “make sure you’re using this.” [57]

High confidence