Table 6 Synthesised core themes (ST1-3) from pre-post ALS survey and post evaluation feedback survey
Statistically significant statements (n = 14)a | Top four qualitative themes QT1- QT4 | Synthesised themes ST1- ST3 | ||
|---|---|---|---|---|
Tool | Pre-post ALS survey | Post evaluation feedback survey | Pre-post ALS survey and post evaluation feedback survey | |
Domains D1- D5 | Statistically Significant Statements | |||
Perceptions around stopping medicines (D1) | Q1. I am confident about stopping medicines safely for patients | Awareness and management of polypharmacy (QT1) | Awareness, confidence, and management of inappropriate polypharmacy (STI) | |
Knowledge and information sources (D2) | Q5. I am aware of current evidence about stopping medicines Q6. I have enough information to help make decisions about stopping medicines Q7. I would use e-learning to help make decisions about stopping medicines Q8. I would use online information to help make decisions about stopping medicines Q10. I am confident about deciding when it is appropriate to stop a medicine(s) | Usefulness of ALS as a learning tool (QT3) Equipping with tools and information (QT4) | Equipping with knowledge, information, tools, and resources (ST2) | |
Perception of patients and stopping medicines (D3) | Q12. I am confident about deciding when it is appropriate to stop medicines Q13. I am confident negotiating with patients about when to stop a medicine Q14. I am confident negotiating with patients’ family members (where appropriate) about when to stop medicines | |||
Perception of colleagues and stopping medicines (D4) | Q18. I am confident negotiating decisions about stopping medicines with nurses Q19. I am confident negotiating decisions about stopping medicines with hospital colleagues | Opportunity to share experiences (QT2) | Decision-making and discussion about stopping medicines with colleagues in different settings (ST3) | |
Institutional factors (Nixon and Vendelo, 2016) (D5) | Q24. I feel supported making decisions about stopping medicines where I work Q26. Other priorities do not get in the way of me being able to stop medicines Q28. I am confident about making decisions about stopping medicines in different settings (e.g. care home, own home, hospital) | |||