Table 2

Innovation-related staff-reported challenges/barriers and facilitators to the sustainability and spread of the huddle

FactorExample quotes from staff interviews
Perceived relevance of the huddle in addressing a need or problem‘I think a lot of it has been through frustration with poor communication. I say frustration, because sometimes it can be, you’re trying to get hold of people or you think someone knows something and they don’t know it, so I think it’s definitely improved communication’
Commitment of stakeholders to the huddle‘I think the main thing is that both doctors and nurses are all on board with it’
Fit with existing organisational procedures‘The consultant gets tied up helping in the assessment unit. It also coincides with medicine round for the nurses and it just didn’t really work or take off’
Adaptability of the huddle to the context‘Adapt it as time goes on, like if you think some questions [in the huddle script] are irrelevant to your ward, change it and add something [that] you think is more relevant’
Ensuring minimal overlap with existing meetings‘It [should] not become the same as handover’
Demonstrating the benefits of the huddle‘If it’s sold in the right manner then you think, ‘I think we should do that—that would be really good’’
Characteristics of the huddle (eg, consistency, brevity)‘It’s just a quick, a brief, like any updates of what’s going on because obviously some days are more fast moving than others’