Form #5 Form #5 Final semi-Structured Interview Guide

ATTACHMENT G:

FINAL INTERVIEW DISCUSSION GUIDES

Final Interview Discussion Guide Administrator and Directors of Nursing

Final Interview Discussion Guide Physician

FINAL INTERVIEW DISCUSSION GUIDE

ADMINISTRATORS

AND

DIRECTORS OF NURSING

Optimizing Antibiotic Use in Long-Term Care

Form Approved
OMB No. 0935-XXXX
Exp. Date XX/XX/20XX

Post QI Implementation

Interview Discussion Guide,

Administrators and Directors of Nursing

Thank you for agreeing to answer a few questions about your experience with the Optimizing Antibiotic Use in Long-Term Care quality improvement program at [Name of Facility].

1. What is your role at [Name of Facility]?

2. How long have you been employed by this facility?

Probe: Have you served in your current position the entire length of your employment?

Probe: If not, what other positions have you held at this facility?

3. What was your role in the implementation of this quality improvement program?

4. How well did your facility implement the quality improvement program?

Probe: What were the barriers to implementation?

Probe: What were the things that went well with the QI program?

Probe: Did your staff consistently use the forms provided to report signs and symptoms of suspected infections to physicians

Probe: Were staff adequately trained?

5. Were you a regular participant in the QI team meetings?

Probe: If not, can you tell me why you were not able to participate?

Probe: If yes, did the QI team meetings provide an effective way to monitor the progress of your QI program?

6. What kind of response to the program did you receive from community physicians?

Probe: What specific feedback did you receive?

Probe: Was the lead physician involved in the program monitoring?

7. What kind of response to the program did you receive from the residents?

Probe: Were there any initial concerns?

Probe: If yes, how did you address these concerns?

Public reporting burden for this collection of information is estimated to average 60 minutes per response, the estimated time required to complete the survey. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-XXXX) AHRQ, 540 Gaither Road, Room # 5036, Rockville, MD 20850.

8. What kind of response did you receive from the residents’ families?

Probe: Were there any initial concerns?

Probe: If yes, how did you address these concerns?

9. Overall, how effective do you think this program was in reducing inappropriate prescribing of antibiotics for your residents?

10. How helpful was the Abt/UNC team in terms of answering questions related to program implementation?

11. How important is the issue of inappropriate antibiotic prescribing to your facility?

12. Will your facility continue to use any of the materials that were developed for this quality improvement program?

Probe: Which items, if any, were particularly useful?

Thank you again for answering my questions and for your participation in this program.

FINAL INTERVIEW DISCUSSION GUIDE

PHYSICIANS

Optimizing Antibiotic Use in Long-Term Care

Form Approved
OMB No. 0935-XXXX
Exp. Date XX/XX/20XX

Post QI Implementation

Interview Discussion Guide, Physicians

Thank you for agreeing to answer a few questions about your experience with the Optimizing Antibiotic Use in Long-Term Care quality improvement program at [Name of Facility].

1. What is your role at [Name of Facility]?

2. How long have you been caring for patients who reside in this facility?

Probe: Do you care for residents in other long-term care settings?

Probe: How long have you been caring for patients who live in long-term care settings?

3. What was your role in the implementation of this quality improvement program?

4. How well do you think [Facility name] was able to implement the quality improvement program?

Probe: What were the barriers to implementation?

Probe: What were the things that went well with the QI program?

5. Were you a regular participant in the QI team meetings?

Probe: If not, can you tell me why you were not able to participate?

Probe: If yes, did the QI team meetings provide an effective way to monitor the progress of your QI program?

6. What kind of response to the program did you receive from other community physicians?

Probe: What specific feedback did you receive?

Probe: Was the lead physician involved in the program monitoring?

7. What kind of response to the program did you receive from your patients?

Probe: Were there any initial concerns?

Probe: If yes, how did you address these concerns?

8. What kind of response did you receive from the patients’ families?

Probe: Were there any initial concerns?

Probe: If yes, how did you address these concerns?

9. Overall, how effective do you think this program was in reducing inappropriate prescribing of antibiotics for your residents?

Public reporting burden for this collection of information is estimated to average 60 minutes per response, the estimated time required to complete the survey. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-XXXX) AHRQ, 540 Gaither Road, Room # 5036, Rockville, MD 20850.

10. How important is the issue of inappropriate antibiotic prescribing to you?

Probe: How useful were the guidelines in addressing this issue?

11. Did the clinical guidelines used in this program change your decision-making process related to prescribing an antibiotic?

12. Do you think the facility will continue to use the reporting procedures that were part of the program?

Thank you again for answering my questions and for your participation in this program.