Communication strategies need to expand with project growth
The initial communication strategies generated immediate momentum as
seen in the early staff buy-in and support for the project. A nurse
explained that healthcare workers were motivated to engage in the 3WP by
“seeing the wishes, and just talking about it more and hearing about
other people’s experiences.” [P3 ]. The ICU manager further
described how the ICU first bought into the project. “[The 3WP
physician lead] was not expecting the level of ownership and how much
it was embraced by [the] core group…[they] really blew
our minds with how [they] just took over and ran with it.”
[P2 ]
However, communication and education strategies may not have kept pace
with project growth. A nurse commented that, “getting the word out
there, I feel was not the greatest. There were only a handful of nurses
that seemed to know a lot about it and if they weren’t working then the
word wasn’t getting out there.”[P3 ] The research
coordinator described differences in clinician buy-in, “some [were]
really on board, some [were] kind of still getting a hand of
remembering that 3 Wishes is an option when you have a palliative
patient.” [P5 ]