Eight key facilitating factors
| Facilitating factor | Example quote |
|---|---|
| Appointment of leaders | “But within time, they got a lead nurse, we put a new nurse in charge, things got better, things were running more smoothly”.(Receptionist 12) |
| Perception of fair workload | “The key to unlocking that is to give people data so you can see look, the doctor sees X%, the nurses see Y%, there is a fair sharing of the work”. (Manager 1) |
| Education on roles/skill sets and development of these | “No one really took the time to explain… if this happens, this is what is expected from you….So that really hindered the model, but as soon as they started being educated more, and being given an opportunity to understand the model more, they understood what it is they were supposed to be doing so that they did buy into it”. (Receptionist 12—role in management) |
| Shared professional understanding | “Sometimes we need them [GPs] to do certain things, sometimes they come to us for advice, sometimes we go to them for advice”. (ENP 3) |
| Interdisciplinary working | “This is the benefit from working as a team. You know that you are supported by somebody else and you are not alone”. (ENP 8) |
| ED collaboration | “It's very easy to get a senior opinion of one of the [ED] consultants if you're worried about a patient”. (ENP 6) |
| Clinical guidelines | “It helped to have evidence-based guidelines which people couldn't challenge”. (Manager 1) |
| Social interactions | “Very often you see staff parties”. (Manager 2) |