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Table 4 Attributes and behaviour of the champion of change that facilitated uptake of ETAT+ recommendations in KNH

From: Factors influencing performance of health workers in the management of seriously sick children at a Kenyan tertiary hospital - participatory action research

Thematic qualities

Attributes and behaviour of the local champion that facilitated implementation of ETAT+ recommendations

Led from the front

Regular supervision of staff, was visible and appreciated good performance Created learning opportunities Role model of a good clinician, actively involved in patients’ care

Overcame organizational inertia

Addressed the needs of staff (he was trusted by people because of his previous achievements in improving care and he understood the system) Took it as his personal responsibility to improve care Took risks of introducing changes which were not owned by the management and staff initially Had patience for staff as they went through stages of change Empowered others in leadership roles Believed in ability to improve care with available resources