Unidad de la Idea y multiplicidad de las apariencias. Conocimiento y opinión

Manager or Senior Clinician Interview Schedule 07.03.12 Version 1.2 Page 1

West Midlands Central Health Innovation and Education Cluster (HIEC) in

partnership with West Midlands NHS Trusts

How do nurses in dialysis sessions promote the uptake of home haemodialysis?

I’m a researcher from the University of Birmingham working on this project which is funded by the West Midlands HIEC. We are working with Trusts to support them in increasing the uptake of home dialysis. Previous research suggests that nurses can play a key role in encouraging patients to become more independent in the

management of their conditions: this is the focus of our work.

We talked about the study before and you had the chance to ask some questions. • Before we start, have you got any more questions about the study?

• Are you comfortable that you understand what the study is about and what we are asking you to do?

What you say will be confidential to the university team and if we use anything you have said in our report, it will be reported anonymously. I’ll send you a copy of my notes to correct or add to, if you wish. All records will be stored securely.

You can withdraw at any time. I have questions, but hope the discussion will be informal and that you will say anything you like.

Please sign the consent form and say if you’re happy for the interview to be recorded.

Interview questions (omit if already covered) 1. To start, can you please describe this unit?

a. How many staff (their role) & patients?

b. What are the links to other units (main renal units/satellites)? 2. Can you tell me a little bit about your patients?

a. What are the likely next steps for your patients? When?

3. Please say a bit about the patterns of consultations for patients on this unit? a. Who does the patient see, when? Do they always see the same

consultant/nurse?

b. Who decides, and how, what happens to patients?

4. How do you see your role as the consultant/ manager in charge of the ward/ unit?

a. What are the different elements to your job? 5. What is the role of nurses in educating patients?

a. How does this help your patients?

b. What educational processes do you think are most effective? c. Is there a focus to move patients home? If so, how does this work in

Manager or Senior Clinician Interview Schedule

Manager or Senior Clinician Interview Schedule 07.03.12 Version 1.2 Page 2

West Midlands Central Health Innovation and Education Cluster (HIEC) in

partnership with West Midlands NHS Trusts

6. What do you think patient-centred care really means for this ward/ unit? a. How does this influence what nurses do?

b. Is it a good thing?

7. How are the nurses involved with educating colleagues? Being educated/ trained on-the-job?

a. How does knowledge get shared between colleagues?

8. How is the policy to increase the uptake of home therapies viewed in the unit? 9. Thinking about encouraging the uptake of home haemodialysis, I imagine

some patients are clinically unsuitable and some may be unwilling or unable to dialyse at home for other reasons. Looking at the table below, can you describe where you might place your patients (ideally percentages in each box)? Please explain your reasoning.

Clinically unsuitable for home haemodialysis

Clinically suitable but NOT able

Clinically suitable and able but NOT willing

Clinically suitable AND able AND willing to move towards home haemodialysis

10. Thinking of patients who could move towards home haemodialysis, what do you think are the factors holding them back?

11. Minimal care is where patients are trained to undertake as much of the dialysis process as they can. Is minimal care practised here?

a. If no: do you think minimal care would work here? Why? b. If yes: how is it going?

c. For both: what are the pros and cons of minimal care? What are the main things needed for it to succeed?

Manager or Senior Clinician Interview Schedule

Manager or Senior Clinician Interview Schedule 07.03.12 Version 1.2 Page 3

West Midlands Central Health Innovation and Education Cluster (HIEC) in

partnership with West Midlands NHS Trusts

12. Finally, are there any other questions or comments that you think are important?

Thank you for giving up your time to take part in our study.

We would like to send you the notes from this conversation so you can add or change anything you want to after we have finished talking. Would you like to see notes of this interview? If so, do you have an email address I can send them to or should I post them to your home address?

We will spend some time writing up this study and when we have finished our final report we will send you a copy if you would like to see it. Would you like us to send you a copy?

Just to remind you, you can contact us on our work telephone numbers or via email: Dr Ian Davison, [email protected] 0121 414 4808

Sandra Cooke, [email protected] 0121 458 2596

Before we finish, have you got any more questions or comments for me?

Thank you once again for taking part in our study and I wish you all the best in your valuable work.