Table 5.

Overview of participants’ change responses

Forms of change response (Coetsee)	Categories identified in the material
1. Commitment	(a) I feel a moral and ethical duty to promote the change (b) I believe in the value of the change
2. Involvement	(c) I work towards involving my medical specialty and profession in the change (d) My position in the organization obliges me to take part in the preparation for the change
3. Support	(e) I do not participate in the work towards the change, but I trust that the process is well-managed (f) I support the change because the new ED becomes a good learning environment (g) I support the change because I believe it will increase and improve the collaboration between the ED and specialist departments
4. Indifference	(h) I do not deal with the change (i) I believe that the change is a result of top-down decisions, which I cannot change (j) I feel ambivalent about the change
5. Passive resistance	(k) I am worried about the way the change is managed and conducted (l) I am worried about the outcome of the change
6. Active resistance	(m) I actively utter critique because the implementation process is not transparent and properly conducted (n) I do not believe that the change will bring about improvement
7. Aggressive resistance	Not detected in the material