This report discusses a qualitative study that identifies actions to enable family violence intervention programme development, implementation and sustainability in New Zealand hospitals. It is part of a wider research project evaluating health care responsiveness to family violence (see Koziol-McLain et al, 2004, for the first report). Information is provided on programme enablers, barriers, and factors that promote organisational change within the health care system. Focus groups and individual interviews were conducted for this evaluative study. Discussions with family violence intervention programme members at three hospitals formed the focus groups. Semi-structured interviews were conducted with key stakeholders (six family violence intervention coordinators, two child abuse programme coordinators and one paediatrician). Data were examined within an organisational change framework. It was found that there are vast differences in levels of family violence intervention programme service delivery. This ranged from no programme to programmes that are beginning to be well supported by systems and processes. It was identified that organisational predisposition and attitudinal change at senior management/decision making levels appear to be key factors in initiating the introduction of a family violence programme. Suggestions are made, for both internal organisational factors and external system factors, which would positively influence family violence programme implementation. Collaboration is seen as paramount to successful programme implementation. Agencies such as Police and CYFs, and NGOs such as Women's Refuge, are seen as potential key contributors to programme success.

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