Table 8 What were the barriers to change at baseline, according to staff perceptions?
Item number (N=) | Type of item | Total “disagree” responses (%) | Total “agree” responses (%) |
|---|---|---|---|
1 (N = 124) When it comes to change, information is not circulated effectively on my ward. | BARRIER | 59 (48) | 65 (52) |
2 (N = 122) I feel confident when delivering new changes. | ENABLER | 15 (12) | 107 (88) |
3 (N = 123) My whole team is regularly consulted about new ideas for ward practices. | ENABLER | 20 (16) | 103 (84) |
4 (N = 124) I’m too busy to keep up to date with information about the changes that are happening on my ward. | BARRIER | 84 (68) | 40 (32) |
5 (N = 123) We can easily fit new changes in with our usual ward practices. | ENABLER | 88 (72) | 35 (28) |
6 (N = 124) I feel disheartened when others do not want to get involved in changes. | BARRIER | 28 (23) | 96 (77) |
7 (N = 121) I think that managing risk is more important than delivering new changes. | BARRIER | 43 (36) | 78 (64) |
8 (N = 124) Changes just increase my workload and make my life harder. | BARRIER | 81 (65) | 43 (35) |
9 (N = 122) It is not clear how all changes that we are asked to make will really benefit my ward. | BARRIER | 56 (46) | 66 (54) |
10 (N = 124) My teammates think that there is no point trying to implement some changes because they won’t work. | BARRIER | 75 (60) | 49 (40) |
11 (N = 123) I find it de-motivating when new changes do not take patients’ wishes into account. | BARRIER | 17 (14) | 106 (86) |
12 (N = 121) I think that some staff would rather let others take the lead in making changes. | BARRIER | 26 (21) | 95 (79) |
13 (N = 120) When some staff stop engaging with planned changes resistance spreads through my whole team. | BARRIER | 42 (35) | 78 (65) |
14 (N = 123) I do not really understand how to deliver some of the changes that are suggested by the management. | BARRIER | 76 (62) | 47 (38) |
15 (N = 119) Changes are audited to increase their consistent delivery on my ward. | ENABLER | 19 (16) | 100 (84) |
16 (N = 121) I always challenge team members who are avoiding delivering new changes. | ENABLER | 43 (36) | 78 (64) |
17 (N = 123) Inadequate staffing prevents changes being successful on my ward. | BARRIER | 13 (11) | 110 (89) |
18 (N = 123) Poor leadership prevents changes happening on my ward. | BARRIER | 48 (39) | 75 (61) |