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Table 4 Semi-structured interview topic guide

From: Continuous quality improvement across a South Australian health service and the role it plays in a learning health system: a qualitative study

Q

Example interview questions and prompts

1

What is your CIP 009 role(executive, facilitator, project team member)? What is your Clinical level, specialty and area of expertise? How long have you been clinically practicing?

2a

Describe what your role in the CIP 009 program/ project team involves? Has your role changed since previous iterations of the CIP program?

2b

Which skills/ experience were needed to deliver and support the CIP 009 program / design and implement the CIP project?

2c

How do you feel about the additional workload associated with the CIP 009 project?Positive /negative impact, overburdened/stressed?

3a

How CIP 009 project topics selected?What were the criteria? (Department needs-based? informed by health round table/ conversations, specific to the LOS reduction target or is it more widely applicable to other targets such as safety?)

3b

How were team members selected for each project?What were the criteria?

3c

What CIP training was provided to you and how useful and informative were the CIP training, presentations, support, and CIP materials?Did the training adequately equip you to conduct the CIP CI project?

3e

What are the strengths and weaknesses of the CIP 009 program?Do you see the CIP CI as an advantage to your organisation? How do you feel about the CIP CI intervention being used in your setting? How complicated is the CIP CI program?

3 g

What kind of information do you collect as you implemented the CIP project?How do you assess progress towards goals? Have you received feedback about the progress of the project?

3 h

Has the planning / implementation process been straightforward, and was implementation as you intended?How have you prioritised project goals?

4a

What adaptations to the CIP methodology did you make/observe project teams making? What support did you provide in that instance?

5a

What were the challenges/barriers that you /the teams faced during CIP training, and the design and implementation of the project? Any surprises?

Prompts: training, support, team/topic choice, design process/setting the problem/aim/diagnostics/outcomes/processes/data collection, implementation within departments, project acceptability, perceptions of influential stakeholders, logistics of team meetings, physical spaces, resources, time, staffing, Fit with the values of the org., Fit with workflow processes/practices, self confidence that you can implement the project

5b

How did you /the team make decisions to overcome CIP project challenges?

5c

What facilitated the engagement with CIP / design and implementation of the CIP projects?Any surprises?

Prompts: Professional development/ research activity benefits in relation to professional memberships, a need for change, perceived Importance of project, incentives (financial or other), confidence that you could successfully implement the project, champions of the project/opinion leaders

5d

How does the CIP fit in with expectations and policies from SALHN and SA health?Is the improvement methodology supported by SA health? Do they provide facilitation (incentives) or barriers to undertake this work?

6a

Which supports from CIP facilitators/executives do project teams most need to effectively design and implement their project?What support did you expect and how did that compare to what you received (from facilitators, execs, other project members)? Were the supports adequate? Prompts (processes, procedures, people, IT support)

6b

Did projects receive support/endorsement from departments/hospital?What kinds of support where you expecting from the hospital executives (resources, staffing, time to conduct the CIP project? How much support did you receive? What was your method of resolution if you didn’t receive the support needed from the hospital to implement the project?

7

What plans are in place to ensure project evaluation and sustainability is ongoing?What support do you need to sustain your project?

8

Do you have any suggestions for the way the CIP program could be designed/run/organised/delivered differently to work more effectively in your setting? Are there procedures or ways of working that would make it easier to implement the CIP CI program and Projects?

9

Is there anything else that is important that we haven’t yet covered?