Hypotheses | Demi-regularities | C & M(s) = > O configurations synthesis |
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Hypothesis 1: An NPIS pre-exists feedback provided to nursing or interprofessional teams and partially determines to what extent these teams engage in the feedback process | 1 The NPIS contributes to the extent of the feedback through 1.1 Appropriate choice of indicators and targets 1.2 Appropriate choice of a method for transmitting indicator results 1.3 Understandable information 1.4 Pre-existence of dense connections within NPIS networks | Context: NPIS is connected to the nurse or interprofessional teams in specific situations Outcomes: It contributes to their engagement and adherence in the feedback process Mechanisms: The NPIS is aligned with the actors’ expectations, identities, roles and practices |
Hypothesis 2: Feedback shared with nursing or interprofessional teams, through various operations that are activated (or not) concurrently (or not), potentially generates nursing performance improvements | 2 Feedback generates problematization through 2.1 Recognition of problems 2.2 Activation of values Feedback generates interessement through 2.3 Introduction of additional information 2.4 In-depth conversations and critical reflection Feedback generates enrolment through 2.5 Agreement about the values inherent in the feedback processes 2.6 Compromise about the (best) plan to improve clinical practice Feedback generates mobilization through 2.7 Sustainable adjustment and alignment of goals and priorities | Context: Actors or mediators introduce intermediaries (e.g. value, new information, space for critical reflection) that give meaning to the system Outcomes: There is recognition of problems, negotiation and convergence, compromise and the sustainable adjustment and alignment of the networks Mechanisms: Actors or networks are shift by a mediator |
Hypothesis 3: Engagement and mobilization of actors in the feedback processes partially determine to what extent the NPIS changes (or not) | 3 Feedback contributes to the transformation of the NPIS through an extension of intersystem mobilization | Context: Actors engaged in the feedback process achieve repeated success or improvements Outcomes: Their mobilization can be strengthened by the NPIS Mechanism: Actors create denser connections within and between the feedback system and the NPIS |