Table 6 Summary of review findings for organisation- and system-related factors
Summary of review finding for additional organisation- and system-related factors Illustrative quote | CERQual assessment of confidence in the evidence |
|---|---|
Social Influence: | |
Culture of the organisation is seen as an important organisational-related factor with participants reporting feeling more supported to engage in SDM when it is clear that their organisation supports them to do so. “‘What is more powerful is the culture of the institution, right? Where I trained before, at a county hospital, we didn’t admit anybody for chest pain… you’d talk to them about the risk and … that was what the institution, and…the population, expected” [56] | Moderate confidence |
Leaders engaging in SDM is seen as an important organisational-related factor with participants reporting feeling more supported to engage in SDM when it is clear that their leaders use and support the use of SDM “I know [surgical director] feels pretty strongly that it’s a good tool and was the one who pushed the initial use of it . . . he says to us “make sure you’re using this.” [57] | High confidence |