Table 3 Sample respondent comments used to identify beliefs/perceptions content
From: A cognitive perspective on health systems integration: results of a Canadian Delphi study
Content | Sample respondent comments |
|---|---|
Strategy Mental Model | |
Consequences of integrating | • “To be successful each participant must see benefit for him/her as well as the collective” |
• “Without willingness to accept and acknowledge the value of integration, it will be difficult to make progress” | |
Appropriateness of selected strategy | • “Need to include the concept of agreement with the goals, long-term vision and methods” |
• “Although there may be shared knowledge unless there is acceptance and commitment there will be challenges” | |
Integrity of decision-making processes | • “Decisions [must] have clear rationale that can be publicly defended” |
• “Important to have all views represented at the decision-making table” | |
Readiness for change | • “Add a concept about willingness to put energy into finding out, testing hypotheses, innovation” |
• “Include individual’s belief about their perceived freedom or ability to make change or execute integration activities” | |
Relationships Mental Model | |
Appropriateness of role structure | • “It goes beyond knowledge to understanding, appreciation and agreement on the roles” |
• “Knowledge without buy-in is not sufficient” | |
Identification with the integration initiative | • “Each participant must have enthusiasm and investment in the initiative and must think beyond their current boundaries” |
• “Crucial to know why they are there: voluntarily or a directed (forced) integration?” | |
Recognition of shared responsibility | • “If the involved parties don’t recognize the need for specific organization engagement, the overall integration activity may not gain traction” |
• “More emphasis on interdependence, being more collaborative, recognizing that each brings expertise” | |
Importance of client involvement | • “The key issue is the integration of patient/family into interprofessional teamwork and this is dependent on changing current attitudes about practice and patient involvement” |
• “Most important players in planning and implementing integration are the persons and their families” | |