Table 2 Critical mechanisms in the intervention process
Multiple objectives | Unclear mandates | Unclear and competing professional logics |
|---|---|---|
Differences in objectives (general objectives, such as increased quality of patient information versus enabling of patient preparedness by means of person-centered information and communication) influence the ways of viewing or working with the PEM (simply delivering the PEM versus using the PEM as a basis for person-centred communication) | Differences in perceived mandate (well-defined mandate for the facilitating nurses versus redefined unclear mandate for the ward nurses; large degree of freedom for the surgeons) influence ways of viewing communication (more likely to process information in dialogical manner versus simply giving/transferring information) | Different professional logics (knowledge-oriented professional logic, surgeon or nurse oriented; administratively oriented logic) influence what part of the intervention was put in focus and the level of engagement |