Inner setting
Inner setting analysis revealed the successful integration of navigators into the care team over time, implying the system’s Such familiarity specifically improved the Navigators also expressed challenges interacting with participants who did not readily engage in the innovation, as noted both in logs demonstrating multiple unsuccessful attempts at contact and navigator interviews. These participants either were self-sufficient in facilitating their own care, and thus felt they needed less navigation, or expressed less desire to interact with navigators. One navigator cited lack of engagement as the biggest challenge in maintaining a relationship with some participants, stating, “sometimes patients…are really busy or…have very low needs. So they don’t really reach out.” This experience demonstrates the importance of individualized navigation programming, as not all individuals, despite eligibility, will perceive similar need or desire for the intervention.