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 ]