From: Rapid spread of complex change: a case study in inpatient palliative care
Main Inquiry Domains | Questions | Examples of probe topics |
---|---|---|
Respondent's role | What has been your role in spreading IPC? | Involvement in earlier palliative care research Role in the organization; e.g., leadership level |
Choice of IPC model | Why do you think this intervention was chosen for organization-wide spread? When choosing a model to spread, was the selection of palliative care one of your top three priorities? | Perceived problem that needed a solution Value of the model Priority for choosing a palliative care model Motivation for choosing model from randomized controlled trial |
Sponsorship and organizational support | Can you explain your understanding of how the IPC model was sponsored and how sponsorship may have changed over time? How did the organization-wide support work for you and your teams? | Relationships formed Seed money How was the model received? How important was the evidence base? How important was exact replication? How important has local sponsorship been to successful IPC implementation? How important has national sponsorship been to successful IPC implementation? |
Organization-wide initiative | What are the advantages and disadvantages of spreading an initiative like IPC across the organization? | Value of being part of an organization-wide spread effort Challenges Local response |
Implementation and dissemination | How has implementation and dissemination of the IPC model gone in your area [over time]? How has implementation and dissemination of the IPC model gone in the different areas [over time]? | What worked? What didn't? What could be improved? Readiness to change Previous palliative care experience/programs Key implementation roles Change management strategies Facilitators and barriers to spread Local benefits of IPC model Resources needed Ongoing program assessment activities Usefulness of organization-wide strategies (trainings, communication tools, webinar, outcome measures, Operations Manual) How successful do you think the spread of IPC has been so far? How did your experience of spread of IPC compare with other spread experiences? |
Lessons learned | What lessons have you learned about being part of spread of an organization-wide model? | Lessons learned to help support other organization-wide spread initiatives Recommendations based on your experience |