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Table 6 Data collection in the domain “process outcomes”

From: Process evaluation of a multi-disciplinary complex intervention to improve care for older patients with chronic conditions in rural areas (the HandinHand Study): study protocol

Process domain indicator

Topics

Data sources

N (planned number of persons per data collection)

Data collection methods (number of planned data collections where applicable)

Operationalisation/Parameters

Data type

      

Quant

Qual

Role and competence development of the ENs

Development over time

ENs

10

Interviews (3), questionnaires (4), focus groups (2)

Description of whether and how the role and competence development has taken place Retrospective perception of the role and role development

Predominant issues of the ENs at different times

Presumption of the ENs how the role will develop

  
 

EN team leader

2

1

Interviews (3),

questionnaires (3)

Changes in the perception of the ENs competencies and role clarity

 

GPs

All GPs

Interviews (2), questionnaires (3), focus groups (1)

Changes in the perception of the ENs competencies

Changes in delegation of tasks

 

PTHV

2

Interviews (2)

Changes in the perception of the ENs competencies and role clarity

 

 

Other health care professionals from other health care services involved in HiH patient care

2

Interviews (2)

Changes in the perception of the ENs competencies

Perceived changes in delegation of tasks

 

 

Patients

2–4

Interviews (6)

Changes in the perception of the EN role

 

 

Relatives

2–4

Interviews (6)

Changes in the perception of the EN role

 

 

Barriers and facilitators

ENs

10

Interviews (2), focus groups (1)

Perceived barriers and facilitators the development of role and competencies

 

 

EN team leader

2

Interviews (3)

Barriers and facilitators in the support of role and competence development

 

 

Health insurance

2

Interviews (2)

Barriers and facilitators regarding the development of new nursing roles in general

 

 

PTHV

2

Interviews (2)

Barriers and facilitators in teaching necessary competencies

Barriers and facilitators in the support of role and competence development

 

 

GPs

All GPs

Interviews (2)

Barriers and facilitators in the support of role and competence development

 

 

Principal Investigator

1

Interviews (2)

Challenges of role and competence development

 

Experiences of the participants

Patients

Perception of care delivered

Patients

2–4

Interviews (6)

Overall perception, aspects of trust, shared decision-making, empowerment

Differences to and similarities with other health professionals

Perceived changes in health status

 

Benefits and disadvantages

Patients

2–4

Interviews (6)

Perceived benefits and disadvantages of ENs care

 

Empathy

Patients

All patients

Process Outcome

Questionnaires (RWI)

Perceived empathy (empowerment, shared decision-making)

 

Relatives

Perception of care delivered

Relatives

2–4

Interviews (6)

Overall perception, aspects of trust, shared decision-making, empowerment

Differences to and similarities with other health professionals

Perceived changes in health status

 

Benefits and disadvantages

Relatives

2–4

Interviews (6)

Perceived benefits and disadvantages for themselves

 

GPs

Perception of care delivered

GPs

All GPs

Interviews (2), focus groups (1), questionnaires (3)

Overall perception, unique contribution of ENs, shared decision-making

Differences to and similarities with other health professionals

Benefits and disadvantages

GPs

All GPs

Interviews (1), focus groups (1)

Perceived benefits and disadvantages for themselves, patients & relatives, others, the region, the health care system as a whole

 

Principal investigator

Benefits and disadvantages

Principal investigator

1

Interviews (2)

Perceived benefits and disadvantages for patients & relatives, others, the nursing profession, the region, the health care system as a whole

 

ENs

Benefits and disadvantages

ENs

10

Interviews (1), focus groups (1)

Perceived benefits and disadvantages for patients & relatives, others, the nursing profession, the region, the health care system as a whole

 

  1. EN Expert nurse, ENC Expert nursing centre, EN Team leader Team leader of the expert nurses, ePA Electronic patient documentation system, GP General practitioner, HiH HandinHand study, Quant. Quantitave, Qual. Qualitative