Positively deviant characteristics | Theme within thematic framework | Spread of positively deviant characteristics across wards | |||||||
Positively deviant wards | Comparison wards | ||||||||
T1W1 | T2W3 | T2W6 | T5W10 | T1W2 | T2W5 | T3W8 | T4W9 | ||
Knowing each other | Staff relationships | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Trust | Staff relationships | ✓ | ✓ | ||||||
A multidisciplinary approach | Integrated teams | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Integrating ward - based AHPs | Integrated teams | ✓ | ✓ | ✓ | ✓ | ✓ | |||
Working together | Integrated teams | ✓ | ✓ | ✓ | ✓ | ✓ | |||
Feeling able to ask questions or for help | Approachability | ✓ | ✓ | ✓ | ✓ | ✓ | |||
Setting expectations | Ward leadership | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
It is a pleasure to come to work | Ward atmosphere | ✓ | ✓ | ✓ | ✓ | ||||
Learning from incidents | Improving performance | ✓ | ✓ | ✓ | ✓ | ||||
Acquiring additional staff | Staffing | ✓ | ✓ | ✓ | ✓ | ||||
Stable and static teams | Staffing | ✓ | ✓ | ✓ | ✓ | ||||
Focus on discharge | Delivering care | ✓ | ✓ | ✓ | ✓ | ||||
Directorate support | Organisational influences | ✓ | ✓ | ✓ | |||||
Keeping patients and relatives informed | Patient-centred care | ✓ | ✓ | ✓ | ✓ | ✓ |
Characteristics highlighted in italic are discussed in more depth in this paper.
Ward pseudonyms are constructed using T (number)=the NHS Trust identifier and W (number)=the ward identifier.
AHPs, allied health professionals.