Evidence |
Evidence |
Clinical experience and local information |
Experience of individuals,
teams, services that influences decision making; outlook to other
service models/initiatives |
Patient experience |
Patient or family engagement in service delivery or
design (formal or informal) |
Research |
Research evidence (e.g. papers, guidelines, conferences),
data sources or processes (e.g. local or state-wide databases, audits),
evaluation of service delivery |
Recipients |
Recipients |
Capability |
Knowledge, skills, memory, attention and decision
processes, behavioural regulation |
Motivation |
Social/professional role and identity, values, beliefs
about capabilities, optimism, beliefs about consequences, intentions,
goals, reinforcement, emotion |
Inner Context (ward and organisation) |
Inner Context
(ward and organisation) |
Adequate resources1
|
Time, personnel, equipment,
education materials |
Culture |
Specific to care of older people and factors influencing this
(e.g. teamwork, interdisciplinary care, innovation), ward/service
line/organisation level |
Experience with change |
Past implementation/change experiences:
positive/ negative, factors associated with success/
failure |
Leadership |
Formal and informal leaders, ward/service line/executive,
across disciplines |
Organisational priorities |
Specific to care of older people and factors
influencing this (e.g. teamwork, interdisciplinary care,
innovation) |
Structure |
Hospital organisational structure (reporting, governance,
service lines), physical structure (physical space, layout of
wards/hospital), structure of university courses and
curriculum, |
Systems and processes |
Models of care, processes for screening,
referral, discharge planning, communication processes, |
Outer context (health service district, state, national) |
Outer context (health service district, state,
national) |
Environmental (in)stability |
Change in political or social environment
which may affect older people and/or health care |
Incentives and mandates |
External funding, restrictions, |
Policy drivers, priorities |
Broad political agenda relating to older
people and/or health care |
Inter-organisational networks and relationships |
Networks and
relationships with community (aged care, GPs, community service
providers), universities, other health care organisations |
Regulatory frameworks |
Health care (i.e. accreditation standards) and
university (i.e. competency standards for new graduates) |
Society values and expectations1
|
Society perceptions
related older people and/or health care |