Illustrative quotes ‘collective action’
| Subconstruct/theme name | Illustrative quotes |
| 3.1 Interactional workability Taking the time to prepare beforehand |
I think we just did everything quite slowly… wrapped the cooling mattress around baby, put the lines in securely, so we knew that really the chances of anything falling out were low. #17, site A
It’s taking the time to prepare everything… that’s what the video is really clear in, really prepare everything first, calmly, neatly, and then the actual moving the patient themselves is so easy. #14, site D |
| 3.2 Relational integration Gaining confidence |
Sometimes there’s some junior staff that may be a little bit more anxious around getting those [cooled] babies out. But if they are being supported by senior members of the team that’s something that is easily overcome as well. #3, site F
I think for us one of our biggest barriers, is making sure [staff] are confident, and that they know what they’re doing. #8, site D |
| 3.3 Skill set workability Keeping it niche to begin with |
Only a small amount [are trained] at the moment, probably just a handful… Which is why if we took it forward as a simulation then maybe we could involve more members of staff. #17, site A
I think there will be a rolling out of the teaching. We were just trying to keep it niche to begin with… it’s definitely fed back that people are mostly really supportive of it, they just would like the teaching, and then it would be more engrained. #13, site B Email and video links were sent round to all members of staff… we’ve got iPads, we were going round with those and showing people the mechanics of it… it’s one of these things that ends up cascading training doesn’t it? #14, site D |
| 3.4 Contextual Integration Staff numbers and skill mix |
I know a lot of the time staffing is an issue with getting babies out for CoolCuddle, so I know there is staffing issues at times when we’ve got a high volume of babies and not enough nurses. #17, site A
I think every neonatal unit is struggling with the lack of experienced qualified… staff, and that can make things difficult as well, because again patient safety has to be the priority. #14, site D |