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. 2021 Nov 18:10.1111/hsc.13653. Online ahead of print. doi: 10.1111/hsc.13653

TABLE 1.

Levels of data analysis

Condition

Level 2 inductive

Empirical events

Level 1 inductive

Context

Level 2 deductive

Disposition of role transition

Level 2 deductive

Causal mechanisms

Level 3 deductive

Repurpose community care facilities
  • Poorly equipped for acute‐ intermediate care

  • Skills gaps in teams

  • Inappropriate referrals

  • Staff shortages

  • Inflexible (procurement) processes

  • Staff exits

CHANGE EFFICACY

Organisational context

Present crisis preparedness

POLICYMAKERS

Lack of control over resources

Centralised control but devolved accountability

Redeploy community dementia care staff to other roles
  • Lack of role clarity

  • Perceived poor fit for the new role

  • Job dissatisfaction

  • Work overload

  • Fear of cross infections

  • Perceived lack of support

  • Long shift patterns

  • Perceived stagnation in role

  • Stress and anxiety

CHANGE COMMITMENT

Individual context

Transition shock

PROVIDERS

Limited choices

Lack of collective action in decision making

Protocols and controls
  • Lack of patient stimulation

  • 24/7 monitoring

  • No consent to discharge destination

  • inadequate person‐centredness in palliative care

  • Bounced around systems of care

IMPLEMENTATION EFFECTIVENESS

Service user context

Moral dilemmas

PEOPLE/ PUBLIC

Lack of a voice

Change efficacy, Change commitment, implementation effectiveness – Weiner (2020). Theory of organisational readiness for change.

Policymakers, providers, people – Bigdeli et al. (2020). Health systems governance framework.