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Table 3 Interview topics and questions

From: An exploration of clinical practice in sites with and without clinical nurse or midwife specialists or advanced nurse practitioners, in Ireland

Participant groups Topics Examples of questions
Interviews with clinicians working with APs/CSs, or in the non postholding teams (10 to 45 min) Co-workers’ understanding of CS/AP role
Teamwork and communication
Best practice in service delivery
Care pathways
Research awareness
What do you understand the Clinical Nurse/Midwife Specialist (or Advanced Nurse Practitioner) role to be?
How you have experienced inter-disciplinary team-work and communication between yourself, the CS/AP and the rest of the team?
To what extent has the CS/AP role influenced the adoption and/or implementation of evidence-based care, implemented national health policy or clinical guidelines?
In relation to care pathways, questions were asked about the appropriateness of aspects of care that included: assessment and diagnosis, interventions, referral/liaison, initiating/ending health care episodes.
How would you describe the level of knowledge about research in your unit, team or ward?
Interviews with Directors of Nursing and Directors of Midwifery (27 to 45 min) CS/AP role
Teamwork and communication
Best practice in service delivery
Staff education and support
Research awareness
Have you noticed any difference in the service provided since the CNS/ANP was/were appointed?
How do you view inter-disciplinary team-work and communication between the CS/AP and the rest of the team?
Has the CS/AP role influenced the adoption and/or implementation of evidence-based care, implemented national health policy or clinical guidelines in their area?
Has the CS/AP contributed to the education of other staff (nurses/midwives/others) in this hospital/service?
How would you describe the level of knowledge about research in the CNS/CMS/ANP’s area?
Interviews with service users (10 to 25 min) Communication
Relationships
Continuity of care & Access to care
Satisfaction with care
Any difference in care given by postholders
Please tell me how you have experienced communication between yourself and your clinician – what were the good things, and the not-so-good things ?.
And the relationship between you and your clinician? How was that?
Please tell me how easy or difficult you feel your access to care was? Any examples you can give me? Was there good continuity of care (seeing same person/few people each time?)
In general, how satisfied are you with the care given by your clinician?
How does she/he help you to manage your …..(disease, condition, symptoms)?
Have you noticed any difference in the care given by the CS/AP compared to care given by other members of the health care team?