Page 71 - Demo

Insights from knowledge exchange in Communities of Practice693ResultsTable 2 gives an overview of the themes and subthemes found. Table 2 Overview of themes and subthemes in the CoP exchangesThemes SubthemesImplementing methods in line with the Care and Coercion Act-Quality of care dilemma -Implementation determinants Hindering and facilitating factors Stakeholder engagementClarity on implementation goals Motivated and engaged professionalsOrganisational context Impact of organisational context Top down implementationBottom up implementationChange in organisational culture Culture change Coaching implementation and change Implementation plans and strategies -Implementing methods in line with the Care and Coercion ActThe introduction of the Care and Coercion Act prompted care organisations to implement new methods aiming to reduce involuntary care. Participants identified a difficult situation for support staff. Due to the new legislation support staff might become more aware of their use of involuntary care in clients%u2019 care and support. Since this is no longer legitimate, and methods in line with the new Act need to be implemented, support staff workers might fear for their own safety, because new ways of working might give clients with challenging behaviour too much freedom. Participants suggested that this should be discussed with direct support staff before implementing methods that aim to reduce involuntary care. Because it also brings fear: If we are no longer allowed to suspend someone who has just threatened me with a knife, where do I stand? So you have staff who find it scary. And you can%u2019t say we%u2019re not talking about that, because this is now the new law. (Policymaker, meeting 1S)