Table 4.

Practices to improve communication in the introduction of new practices

Theme from which practice emerged	Practice	Practice definition
Failure to communicate rationale	Communicating a clear rationale for the new practice	Explain with clarity and transparency the reason for the introduction of the new practice.
Failure to communicate necessary procedural knowledge	Providing necessary procedural knowledge	Provide adequate training on how to appropriately use the new practice in a way that is feasible within the constraints and resources of the work environment.
Lack of effective communication delivery	Communicating about the change via multiple methods	Communicate change using a combination of targeted media methods and interpersonal channels so that the information is not missed.
Lack of effective communication delivery	Providing sufficient lead time to prepare for the change	Communicate information with enough advance notice to allow for change preparation.
Lack of effective communication delivery	Providing the opportunity for bidirectional engagement	Provide the opportunity for therapists to give feedback and input about the upcoming change in practice.