Individual engagement and a broader culture of engagement
A broader sense of community in the delivery of healthcare as well as in establishing the values of care were common when discussing the culture of engagement. Some practitioners identified that the sense of community and teamwork found in smaller non-academic settings was an enabler, although academic practitioners also identified that a sense of common values was important in enabling a culture of practice change.
“I think […] they see themselves as a component of a larger team that’s goal is to provide the best care for patients.” [P4] “The usual people that care deeply about others and have a team mentality I think (would take part) as long as they felt that the metric was valid, and it was an accurate reflection of (practice).” [P5]
Community providers also noted that their engagement in positive patient outcomes may be derived from their individual and departmental relationships with patients and the community rather than performance. This sense of a broader community was suggested as an enabler of engagement and practice change
“You know everyone better and you may know some of the patients and the staff that you are working with more on a personal level then you would in a larger institution that is more formal and more rigid.” [P11]