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Evaluation of Normalization After Implementation of the Digital Dutch Obstetric Telephone Triage System: Mixed Methods Study With a Questionnaire Survey and Focus Group Discussion

Evaluation of Normalization After Implementation of the Digital Dutch Obstetric Telephone Triage System: Mixed Methods Study With a Questionnaire Survey and Focus Group Discussion

Hierarchy is also a challenging factor here, which is in line with results from other studies indicating that in a hierarchical organization, normalization of an innovation is often more difficult [35]. If the organization of care is arranged by the nurse, it is necessary that it is supported by medical staff [40]. We found that training, which is part of the construct collective action, is an important element of change. This was also seen by existing triage systems [38,44,45].

Bernice Engeltjes, Ageeth Rosman, Fedde Scheele, Christiaan Vis, Eveline Wouters

JMIR Form Res 2022;6(6):e33709