Table 3

Factors influencing the Salut Programme sustainability, nested in a theoretical scheme inspired by Grol and Wensing [16]*

FACTORS INFLUENCING SUSTAINABILITY


LEVEL

REQUIREMENTS

FACILITATORS

BARRIERS





Innovation

Development

process

Involvement in development

and small scale testing 1-4

Support from process

consultants 1-4

Having time to develop

strategies 1-4

Time consuming and

ineffective 1-4

Content

Carefully designed work

manuals 3

Perceived as important 1-4

Easily integrated 1-4

Manuals essential tools 1-4

Clear programme branding 1-4

Time consuming 1-4

Not suiting specific needs of

immigrants 1,2,4

Difficulty with social and

psychological problems 1,2

Found similar to approaches

already present at the work

place 1,2,4

Individual

Professionals

Own commitment and

interest 1-4

Own values coherent with

programme's purpose and

goals 1-4

Lack of motivation 2,3,4

Programme goals found

unrealistic 2

Parents

(Patients)

Positive attitudes to

interventions 3,4

New topics and questionnaires

intrusive and extensive 1-3

Content of parent meetings

unpopular 1,3

Context

Social

Regular meetings 1-4

Permanent programme

organization 1-3

Information to new employees 1,3

Managerial responsibility

and commitment1-4

Regular meetings 1-4

Active managerial support 1-4

Lack of managerial

involvement or support 1-4

Lack of involvement or

support from physicians or

other colleagues 1-3

Organizational

Programme integrated in

action plans 1-3

Geographical proximity for

collaborators 1-4

Sufficient time 1-3

Further establishment and

spread of the programme 1-4

Geographical proximity for

collaborators 1-4

Lack of time and resources 1-4

Lack of communication and

agreement between

programme management and

local managers 2,3

Economical

and political

Incentives in line with

programme intentions 3

Conflicting incentives for

performance 3

Threat of cutbacks 1-3


1 Represent the views of midwives, 2 child health nurses, 3 dental hygienists/dental nurses, 4 open pre-school teachers

* With an added level; development process.

Edvardsson et al. BMC Health Services Research 2011 11:61   doi:10.1186/1472-6963-11-61

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