Appendices interview formats

Background: Literature on multi-disciplinary healthcare team interventions
to improve quality and safety of care in acute hospital contexts tends to
focus on evaluating the success of the intervention by assessing patient
outcomes. In contrast, there is little focus on the team who delivered the
intervention, how the team worked to deliver the intervention or the
context in which it was delivered. In practice, there is a poor
understanding of why some interventions work and are sustained and why
others fail. This research seeks to deepen understanding of enablers and
barriers for effective team interventions. Using two case studies, we will
evaluate our initial programme theories to understand, what worked for
whom, in what conditions, why, to what extent and how? Methods: A realist
evaluation approach will be employed to test a previously formed set of
initial programme theories. Two multi-disciplinary acute hospital team
interventions in two different geographical and organisational contexts
will be identified. In case study 1, a theory based approach to
interviewing will be used and in case  study 2, interview
transcripts obtained using a semi- structured approach for primary
research purposes will undergo secondary analysis. Researchers will
iteratively interrogate both data sets to identify the characteristics or
resources present in each context that influenced how the team
intervention worked to produce particular outcomes. Data will then be
synthesised across contexts in order to reach a middle range theory and
produce more generalisable insights. Ethics and Dissemination: Favourable
ethical opinion has been received from University College Dublin Ethics
Committee (HREC-LS-16-116397) for this research without requirement for
further ethical review (LS-E-19-109) for testing in healthcare
organisational contexts. Written permissions have been secured from both
organisations involved in the case studies. Results will be disseminated
via peer-review journals, national and international conferences and
presentations to relevant stakeholder
groups.