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Table 2 Summary of Interview Instruments

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