Skip to main content

Table 1 Hypotheses, demi-regularities and C & M(s) =  > O

From: How does nursing-sensitive indicator feedback with nursing or interprofessional teams work and shape nursing performance improvement systems? A rapid realist review

Hypotheses

Demi-regularities

C & M(s) =  > O configurations synthesis

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