Table 5 Themes likely to explain responses to a question about the sustainability of Evidence Rounds
Theme | Sub-theme | Sample quote | Participant |
|---|---|---|---|
Staff engagement and collaboration | Need for opinion leaders and champions | “it needs to have an obstetric lead and a neonatal lead. I think it really needs both of them.” | Nurse/Midwife G |
“it would up to them to organise with. .. the junior doctors and the nursing staff as well. That they would have to participate at some point in time. And so getting people, but you do need a designated go-to person in that particular area. To design the scheduled meetings and to fix them in the calendar.” | Physician E | ||
“. .. we need to have somebody, in my opinion, whose total, total role is looking at evidence and guidelines and producing that so that practitioners can change practice or you know develop guidelines for practice.” | Nurse/Midwife A | ||
“if you have people whose job, whose professional role is to provide education, it works well. We are lacking that type of person on our end of things. So that’s why they often, these things run for a period of time and then they just kind of fall apart.” | Physician D | ||
“It needs a leader.. .. . to push it and to support each time. And to do the searches and to support the staff.” | Nurse/Midwife G | ||
Buy in from senior level staff | “I’m not too sure that they’re attending or they understand the importance or they’re kind of, that the managers kind of see it as an important process (.. .) It really needs to start the high up. And if we could get the buy in from both of them and then they encouraged their teams, it would certainly be a lot more effective.” | Nurse/Midwife G | |
“If it’s run by the consultant, people would attend even more.” | Physician F | ||
Interprofessional and multiple disciplinary approach | “the biggest thing I got out of it was the multi-professional involvement because we do a lot of our training and updating ourselves in separate capacities, even though yet we work together to care for the woman, the one woman in front of us. But we’re coming at different angles all the time. So I think it’s hugely important to bring it forward and even incorporate it in more and more of our training. That we’re working together, we’re updating our skills together, we’re training together. And as a result, we’re caring for the woman together.” | Nurse/Midwife B | |
“And it was such an involved group as well, you know a diverse group. Usually when we’d have something, it might be just the nurses that are there, everybody was attending.. .. The CNMs, the nurses, the doctors, the regs, so I thought that was good.” | Nurse/Midwife D | ||
“I feel that’s because none of the consultants from [department X] got really behind it. And I think the [department Y) would be quite happy to take it as their baby and run with it basically. And that’s a huge problem, that would be a huge problem because there is no baby without having all the services involved.” | Nurse/Midwife G | ||
“The only problem is to find a common topic with the obstetricians.” | Physician C | ||
Individual and departmental influences on sustainability | Skills and knowledge to access evidence | “if you haven’t got help with someone doing the literature searching that’s a lot that’s a big part of the work, so to try and get that done every month will be hard, on our own.” | Nurse/Midwife E |
“you had researched the papers and given them to them beforehand. That was good as well. I think it made the, their job a little bit easier. But also my question would be if they were presenting Evidence Rounds in the way they were presented, would they have known where to go to access these papers that you gave them? Or would they have known how to access them? So if individuals were left to their own devices to carry on with Evidence Rounds. Without the various reviews being supplied to them, I don’t know that they would actually know where to go to. And maybe I’m completely wrong. You might get a more limited number of articles presented.” | Physician E | ||
Competing with clinical workload and other educational sessions | “And you can see the difficulty in trying to get the volunteers to kind of do the work. Because its work for them, you know I mean there is an effort required. And you know they already have plenty of work to do. And then you know this is an additional task for everybody (.. .) there are so many education sessions, it’s very difficult to you know squeeze another one in. So you know it’s a challenge I think just to keep people interested and keep them going, yeah hard work.” | Physician D | |
“the [department z] site has few people turn up, it’s also they have their Friday lunch time meeting with free lunch as well.” | Physician C | ||
Maintaining interest and subject saturation | “the enthusiasm for these things wax and wane depending on who the staff are. And then you run out of topics to some degree as well. You know you do all the good ones and the big ones initially. And then as time goes on then people are really scraping the barrel to look for things.” | Physician D | |
“I thought what worked well was when we, at the very end we were very clear, from the get go that we said at the end of this we want to have presenters for the next rounds and have decided a topic. I think leaving it creates just too much space. And unless you get people to commit. I think that just doesn’t work great.” | Nurse/Midwife G | ||
“I think new projects are always great. Sustainability is one of the big problems. And keeping people motivated.” | Physician E | ||
Rotation of presenters | “I think if it was the same people presenting all the time, it would be a lot of work on the same people. If it was divided up equally then I think it would be good.” | Nurse/Midwife C | |
“if it was again, like a rotation. .. And it should alternate and people have to do it. That will make it I think more regular and people probably will have to do it. It’s not an optional thing, it’s a mandatory thing.” | Physician F | ||
Scheduling and frequency | “there’s a schedule and there’s time frames for people to meet, I think once that’s written into the yearly schedule of events, I think that people will participate in it” | Nurse/Midwife A | |
“Yeah, probably doesn’t need to be every month [. ..] we will run out of topics at this tempo” | Nurse/Midwife E |