Table 4 Round 2 modified Delphi survey results for importance and feasibility of additional and rephrased factors
From: Implementation of government-directed policy in the hospital setting: a modified Delphi study
Survey questions | Level of agreement |
|---|---|
Policy characteristics | |
 Where valid and reliable evidence is available, how feasible is it to ensure policy requirements/actions are supported by valid and reliable evidence when developing policy for implementation? | 88.9% |
 Where valid and reliable evidence is not available, how important is it for proposed changes to be assessed/tested for unforeseen consequences and/or acceptability? | 88.9% |
 Where valid and reliable evidence is not available, how feasible is it for proposed changes to be assessed/tested for unforeseen consequences and/or acceptability? | 66.7% |
 How important is clinician perception that a policy will benefit patient care/outcomes for policy implementation? | 77.8% |
 How feasible is it to consider clinician and decision-maker perception of whether a policy will benefit patient care/outcomes when developing policy for implementation? | 88.9% |
Outer setting | |
 How important is the alignment of policy actions and outcomes with other externally developed requirements for policy implementation? | 100% |
 How feasible is it to ensure required policy actions and outcomes do not contradict other externally developed requirements during policy development? | 88.9% |
Inner setting | |
 How feasible is it for hospitals to consider roles and responsibilities before commencing policy implementation? | 66.7% |
 How feasible is it for hospitals to undertake internal system and infrastructure assessment to identify potential local factors that influence policy implementation? | 100% |
 How feasible is it for hospitals to establish organisational lines of accountability for implementation outcomes when developing policy for implementation? | 100% |
 How feasible is it for hospitals to consider organisational stability when planning for policy implementation? | 55.6% |
 How important are clinical leaders/professional peers (both formal and informal) in facilitating policy implementation? | 100% |
 How feasible is it for hospitals to identify potential clinical leaders/professional peers that may influence implementation before commencing policy implementation? | 88.9% |
Implementation process | |
 How feasible is it for hospitals to quantify and build capacity for implementation before commencing policy implementation? | 66.7% |
 How important is the identification of change/s required to move from current practice to proposed practice? | 100% |
 How feasible is it to consider the change/s required to move from current practice to proposed practice and consider this transition when developing policy for implementation? | 100% |