Table 4 Proposition testing

1. Better sustainability of the model of care (MoC) is associated with:

1.1. Full engagement of all key stakeholders first

Yes

1.2. Bottom-up drivers (rather than top-down)

Yes

1.3. Top-down support - Legislative support to drive, underpin, and sustain the new MoC created

Yes

1.4. Legislative scaffolding to reinforce the new MoC, such as award and pay structures, that are supported in industrial agreements and ratified at the highest possible levels of government to avoid undermining by professional boundary arguments

Yes

1.5. Codification of the processes, practices and training used to implement the role

Yes

1.6. Having powerful allies to drive the role forward

Yes

1.7. Implementing new MoC that are appropriate for the context (including local, geographic, population, clinical, professional, regulatory contexts)

Yes

2. More/less efficient use of the role is associated with:

2.1. Clearly defined roles within the MoC

Yes

2.2. Clearly defined and understood, unambiguous delegatory or allocatory MoC

Yes

2.3. Delegating practitioners having confidence in delegation, which comes from understanding the roles, training, and competencies of the practitioners to whom they are delegating

Yes

2.4. Trust, derived from time and exposure to the new model of care, is important for establishing appropriate delegation/collaboration/referring practices

Yes

3. Greater staff satisfaction is associated with:

3.1 Better career development opportunities

Yes

3.2 Role clarity

No

3.3 Appreciating value in/impact of the role

Yes

3.4 Appropriate support for the development and implementation of the MoC

Yes

4. Better patient outcomes are associated with:

4.1. Greater engagement of patients in the decision making associated with their care delivery

Yes

4.2. Putting the patient at the centre of the MoC, rather than the practitioner

Yes

4.3. Providing any care or service where the alternative is no service, or a long waiting list

Yes