Codes Explanatory Notes
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