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]