Interview Questions | Themes Derived from Analysis | Number of data sets identified in the second level analysis showing strength of the theme |
---|---|---|
Q1. What has worked? | Theme 1: Collaborative, resilient, flexible teams who mutually support each other, cascade information and have risen to the challenge. | 72 |
Theme 2: Cross-boundary working with, shared priorities, improved relationships, pooled resources, streamlined processes enabled new services | 24 | |
Sub-theme 2.1: Ideas implemented have spanned technical innovations and standard passports for volunteers in acute settings to sharing medications in short supply and adapting new ways of working in the community | 5 | |
Theme 3: Seeing the person in the patient, and with care and patience working with or for family members across the spectrum of care from recovery to death | 24 | |
Theme 4: Technology has contributed to normality and innovation through patient consultation/decision making, improved response times, EoL experiences, team communication, remote working, staff wellbeing, and recruitment | 20 | |
Q2. What has not worked? | Theme 5: The correct use and dehumanising impact of PPE and obtaining consistent supplies within a changing context | 33* |
Theme 6: Confusing messages, not knowing what is happening with impact on: mental health assessments, hospital admissions and attendance, university programmes and conspiracy theories | 15 | |
Theme 7: System not joined up or resilient impacting negatively on patient flow, social care, use of volunteer potential, track and trace or redeployment | 9* | |
Theme 8: Unrequired actions in acute care yet social care left high and dry | 2 | |
Q3. What have been the challenges? | Theme 9: Managing emotional impact of the pandemic on people (staff, patients, residents, students) but keeping them hopeful and safe | 45**** |
Theme 10: Caring for self and each other when anxious about passing virus onto others, suffering fatigue and stress, with no end in sight | 41**** | |
Theme 11: Supporting residents/patients with the impact of social isolation and their understanding of social distancing whilst also not seeing own families | 42******* | |
Theme 12: Inconsistent policy and guidelines, and discontinuity across the system impacting on other parts of system, pace of change and uncertainty about when it will end - the new normal | 28***** | |
Theme 13: Not knowing who has the virus, worrying about the risks to others (own families, patients, vulnerable others) and being more vigilant about safety. | 19** | |
Theme 14: Exposure to increased number of people dying and impact of Covid related EoL care | 9* | |
Q4. What have been the key challenges? | Theme 15: An amazing workforce – kind caring, supportive, strong teamwork and spirit has created a sense of pride, joy and feeling valued | 85****** |
Theme 16: Everyone worked and learned together with a can-do attitude, supported by community spirit, everyone playing their part and the role of social care highlighted | 41******* | |
Theme 17: Feeling valued and appreciated by so many – will it continue | 29**** | |
Theme 18: Strengthened relationships with own neighbours, family and relatives, spending quality time with them and better work-life balance | 21** | |
Theme 19: Technology a success story for treatment, communication, virtual visiting, connecting and communicating with people, system efficiency, productivity and carbon footprint | 13*** | |
Q5. Learning Opportunities | Theme 20: Appreciate learning across the NHS and society to do things better or differently, enabling all parts to feel empowered to make a difference | 30******* |
Theme 21: Increase understanding for vigilance and keeping people safe and funding | 14**** | |
Theme 22: Continuing new ways of working – system focused integrating health and social care with good business planning to protect key supplies and human resources | 15****** | |
Subtheme 22.1: Wider recruitment across health and care economy, with reservists and volunteers and shorter recruitment processes to support permanent staff | 7**** | |
Subtheme 22.2: Ensure the right skills are in the right place at the right time | 5* | |
Subtheme 22.3: System requirements to support high numbers of people requiring rehabilitation and needs of vulnerable people and those with mental health challenges | 3* | |
Theme 23: Support for staff wellbeing | 14** | |
Theme 24: Keep IT enhanced initiatives, recognising the need for good broadband connectivity | 13**** | |
Theme 25: Consistent and clearer messages on role of testing, applying social distancing sooner | 4* | |
Q6. New insights | Theme 26: Developed greater recognition of own strengths, the importance of balancing support for self and others, maintaining wellbeing and appreciating the little things e.g. a job I enjoy. | 50********* |
Theme 27: Sustaining new ways of working, community spirit and cohesion | 20** | |
Theme 28: Looking to the future, the new normal will be different wont need big offices, more flexible and home working, services will change what they can offer | 15 | |
Q7. Impact on Roles | Theme 29: Learning readily to work differently, adapting flexibly, making adjustments, supporting others in new roles or taking on new roles whilst coping with increased workload | 89******* |
Theme 30: More prepared for safety, stricter infection control, safeguarding so people feel safe | 33**** | |
Theme 31: Communicating more to get the right message across | 5* |