Administration/Management
One of the core areas influencing diffusion of the model was in gathering
and maintaining upper level administrative support for staff resources.
Replication site care team members consistently perceived a
conflict between their core values about the IPCP program’s purposeand worth and those of some of the organization’s administrators. Thus,
an important role of the home site was providing support in facing these
challenges. This was done initially through meetings and presentation
of data from the original study and also later by providing ongoing data
and discussion as needed. In addition, many of home site’s experiences
with getting this project off the ground mirror those of the care teams, in
terms of having to deal with issues around insufficient resource allocation,
unmet needs and unanticipated problems and instabilities. Therefore
the care team members’ needs were being heard and understood by
people in a position of relative power who could both empathize with
their struggles and advocate for their needs.
The most common contextual problems at both sites involved insufficient
resource allocation and a general lack of knowledge of and facility
with staffing, budgetary issues and administrative and systemic
processes on the part of care team leaders. In retrospect, both care team
members and program administrators viewed the funding plan for the
project as inadequate, both in terms of dollars and time allocated. They
continue to express dismay at the degree to which the possibilities for a
program like this one are dictated by financial versus patient care issues.
One team member noted that
Administration/ManagementOne of the core areas influencing diffusion of the model was in gatheringand maintaining upper level administrative support for staff resources.Replication site care team members consistently perceived aconflict between their core values about the IPCP program’s purposeand worth and those of some of the organization’s administrators. Thus,an important role of the home site was providing support in facing thesechallenges. This was done initially through meetings and presentationof data from the original study and also later by providing ongoing dataand discussion as needed. In addition, many of home site’s experienceswith getting this project off the ground mirror those of the care teams, interms of having to deal with issues around insufficient resource allocation,unmet needs and unanticipated problems and instabilities. Thereforethe care team members’ needs were being heard and understood bypeople in a position of relative power who could both empathize withtheir struggles and advocate for their needs.The most common contextual problems at both sites involved insufficientresource allocation and a general lack of knowledge of and facilitywith staffing, budgetary issues and administrative and systemicprocesses on the part of care team leaders. In retrospect, both care teammembers and program administrators viewed the funding plan for theproject as inadequate, both in terms of dollars and time allocated. Theycontinue to express dismay at the degree to which the possibilities for a
program like this one are dictated by financial versus patient care issues.
One team member noted that
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