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Table 8 Proposed list of common organisational barriers to change (adapted from [30])

From: SUPPORT Tools for Evidence-informed Policymaking in health 6: Using research evidence to address how an option will be implemented

Barriers

Strategies to address barriers

Cultural complacency (resistance or scepticism)

• Deliver a few quick 'measurable wins' to demonstrate why change is needed

Lack of communication

• Develop a communication strategy targeted to identified communication barriers in the organisation

Lack of alignment and accountability

• Institute appropriate management structures

Passive or absent leadership

• Engage leaders in the proposed changes

Micro-management

• Empower the team and establish vision for the organisation among team members

Overloaded workforce

• Demonstrate the benefits of rethinking workflow to team members and of using new processes or technologies to reduce non value-added steps

Inadequate systems and structures

• Institute appropriate systems and structures to support the initiative

Lack of control plans to measure and sustain results

• Develop mechanisms to assess progress and maintain any positive results attained