Theoretical domain | Theoretical indicator | Inductive theme | Inductive code |
---|---|---|---|
Shared goals and vision | Goals | 1. Providing appropriate care | 1.1. Creating appropriate plan for patient |
1.2. Joint division of care responsibilities | |||
1.3. Incorporating psychosocial aspect into care | |||
1.4. Arranging post-discharge care | |||
2. Providing efficient care | 2.1. Efficiency and speed in decision making | ||
3. Prevent alcohol problems | 3.1. Early detection and prevention of alcohol problems | ||
Client-centered orientation vs other allegiances | 1. Client-centered interests | 1.1. Providing good care | |
1.2. Providing preventive care | |||
2. Professional-centered interests | 2.1. Learning (from each other) | ||
2.2. Working more efficiently | |||
2.3. Showing one’s own expertise | |||
3. Hospital-centered interests | 3.1 Avoiding unnecessary high bed occupancy | ||
Internalization | Mutual acquaintanceship | 1. (Not) knowing each other personally | 1.1. By presence or absence at/around biweekly meetings |
1.2. By undertaking joint activities | |||
1.3. Being able to find each other well and quickly | |||
1.4. Forgetting when and which discipline to involve | |||
1.5. Doctors less accessible by hierarchy | |||
1.6. Due to high staff turnover of resident doctors | |||
Trust | 1. Division of roles | 1.1. Clear division of roles among involved disciplines | |
1.2. Role uncertainty among inexperienced members | |||
2. Competences | 2.1. Confidence in competences regarding alcohol problems within own department | ||
2.2. Less confidence in competences regarding alcohol problems of other departments | |||
2.3. Need for (repeated) training for involved disciplines | |||
2.4. Desire to increase awareness/insight into importance of alcohol theme in other departments | |||
3. Collaboration culture | 3.1. Pleasant open atmosphere | ||
3.2. Feeling of connectedness | |||
3.3. Equality between network partners | |||
3.4. Disagreement between network partners | |||
4. Commitment | 4.1. Good engagement/commitment among network partners | ||
4.2. Low commitment of doctors in collaboration | |||
Governance | Centrality | 1. Steering | 1.1. Project leader as initiator |
Leadership | 1. Role of chairperson | 1.1 Importance of project leader with guiding role of chairperson during meetings | |
1.2. Shared leadership possible | |||
Support for innovation | 1. Project expansion activities | 1.1. Initiatives for expansion to other hospital departments | |
1.2. Additional activities around network promotion | |||
2. Need for research | 2.1. Lack and need for insight into actual effect of interdisciplinary collaboration | ||
Connectivity | 1. Contact moments design | 1.1. Fixed biweekly meetings | |
1.2. Preferring physical meetings over digital | |||
1.3. Desiring possibilities to start actions earlier than biweekly meetings | |||
1.4. Limited accessibility to collaboration for other departments | |||
1.5. Fewer contact moments and poorer collaboration due to COVID-19 | |||
1.6. Waiting lists of external partners hinder collaboration | |||
1.7. Importance of reminding each other of biweekly meetings | |||
2. Composition of network | 2.1. Presence of fixed core network partners | ||
2.2. Importance of involvement/presence of different and fixed expertises | |||
2.3. Changes in composition of network partners is logical | |||
2.4. Desire to involve various external parties more/earlier | |||
2.5. Low involvement of various external parties is difficult | |||
Formalization | Formalization tools | 1. Protocols | 1.1. Bureaucracy and protocols of hospital hinders cooperation |
1.2. Inclusion of protocol for alcohol problems in induction pack for resident doctors | |||
1.3. Desire for structured protocol with working procedures and division of responsibilities | |||
1.4. Protocols not followed | |||
2. Funding | 1.1. Difficulties regarding funding of external partners hinders collaboration | ||
Information exchange | 1. Ways of exchanging information | 1.1. During biweekly meetings | |
1.2. Via telephone or e-mail | |||
1.3. Processing information and action items in Electronic Health Records (for hospital professionals) | |||
2. Evaluations of information exchange | 1.1. Lack and need for information about post-discharge care process | ||
1.2. Gaps in reporting/transmission of information | |||
1.3. No changes desired |