Table 1 Domains of NPT and related interview questions
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? |