From: Implementation of government-directed policy in the hospital setting: a modified Delphi study
Factor | Feasibility | ||
---|---|---|---|
Yes | Local level | No | |
Policy characteristics | |||
 Perception of the quality and validity of the evidence | ✓ | ||
 Policy content and requirements/actions | ✓ | ||
 Valid and reliable evidence for policy requirements/actions | ✓ | ||
 Assessment/testing of policy | x | ||
 Perception of benefit to patient care outcomes | ✓ | ||
 Cost of implementation | ✓ | ||
Outer setting | |||
 External systems and infrastructure | ✓ | ||
 Alignment of policy with other external requirements | ✓ | ||
 Alignment with national/corporate goals | ✓ | ||
 Regulatory mechanisms (e.g. accreditation, financial penalties) | ✓ | ||
Inner setting | |||
 Internal systems and infrastructure | ✓ | ||
 Hospitals establish roles and responsibilities | x | ||
 Hospitals assess for internal factors/relationships | ✓ | ||
 Hospitals establish organisational lines of accountability | ✓ | ||
 Hospitals consider organisational stability | x | ||
 Methods for monitoring and reporting policy implementation outcomes | ✓ | ||
 Clinical leaders/professional peers | ✓ | ||
 Organisational goal setting | ✓ | ||
Individuals | |||
 Resources and tools | ✓ | ||
 Integration of policy requirements into current practice | ✓ | ||
Implementation process | |||
 Resourcing and preparedness | ✓ | ||
 Development of implementation plan | ✓ | ||
 Hospitals establish and build capacity for implementation | x | ||
 Identification of changes needed in planning | ✓ |