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Table 1 Domains of NPT and related interview questions

From: Refer-to-pharmacy: a qualitative study exploring the implementation of an electronic transfer of care initiative to improve medicines optimisation following hospital discharge

Domains Sub-domain questions
Coherence: refers to how individuals and groups “make sense” of an intervention when they are tasked with implementing a new way of working. How does Refer-to-Pharmacy differ from what you did before?
Do participants have a shared understanding of the purpose of Refer-to-Pharmacy?
How does using Refer-to-Pharmacy affect your work?
Do you think Refer-to-Pharmacy has the potential to improve medication use for patients?
Cognitive participation: is the relational work people undertake to legitimise and sustain an intervention. Who drives the scheme forward and gets others involved?
Do you think that using Refer-to-Pharmacy is a legitimate part of your role?
Do you have to work with people in different ways in order to deliver the service? Has Refer-to-Pharmacy improved communication between community and hospital pharmacists?
Will you continue to support the scheme?
Collective action: is the operational work that people do to enact a new intervention. How does delivering the scheme fit in with everything else you have to do? How long does a typical referral take?
Do you think pharmacists and technicians are equally able to refer patients?
Is sufficient training provided to enable you to use the system and identify who is eligible for a referral?
Are sufficient resources available to support Refer-to-Pharmacy?
Reflexive monitoring: is the appraisal work the people do to understand and evaluate whether the new ways of working are worth sustaining. Do you get feedback about the referrals you make?
Do patients think Refer-to-Pharmacy is worthwhile?
Do you adapt how you use Refer-to-Pharmacy?
  1. Adapted from the NoMAD instrument (Finch et al. 2015)
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