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Stakeholder Participation in System Change: A New Conceptual Model
Tammy O'Rourke1, Kathryn S Higuchi2, William Hogg3
1Assistant Professor, University of Alberta, Edmonton, Alberta, Canada.
Worldviews on Evidence-Based Nursing
|June 4, 2016
Summary
Stakeholder motivations, including resistors, were explored in the shift to Nurse Practitioner-Led clinics. Understanding their roles is key for successful healthcare system change.
Area of Science:
- Healthcare Management
- Health Services Research
- Primary Care Innovation
Background:
- Canada's primary care system evolved with the introduction of Nurse Practitioner-Led clinics.
- Stakeholder influence on system change is recognized, yet motivations of resistors remain under-researched.
Purpose of the Study:
- To investigate stakeholder engagement in the system change process for Ontario's first Nurse Practitioner-Led clinic.
Main Methods:
- A single case study approach was employed.
- Data collection involved site visits, semistructured interviews with 16 individuals, and review of 20 public documents.
- Qualitative content analysis was utilized for data interpretation.
Main Results:
- Six key themes emerged, highlighting a nuanced view of stakeholder participation.
- Findings reveal activities of stakeholders in shaping, sharing, and protecting their change visions.
- The study introduces a conceptual model for understanding healthcare system change complexities.
Conclusions:
- The study offers insights into both supportive and resistant stakeholder dynamics.
- Understanding stakeholder motivations and actions is crucial for effective healthcare leadership and planning.
- This research contributes to a deeper comprehension of challenges inherent in healthcare system transformation.
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