Interview guide and observation protocol
Interview-guide-selected questions |
“What does “keeping patients safe” mean to you?” |
“Tell me about a time when something was going wrong for a patient and you needed to do something about it”. |
“Tell me about a time when you felt care was unsafe.” |
“What do you think makes a nurse really good at managing complicated patients or rapidly changing patient status?” |
“What do you think makes complicated situations easier or harder to manage?” |
“Have you ever been in a situation where you knew something was wrong but were hesitant or afraid to speak up or do something about it? Tell me about that”. |
“What do you think makes a nurse really good at getting their message across to the team?” |
“What haven't I asked you about that I should have?” |
Participant observation protocol |
Enrolled RNs were asked at the close of interviews if they were willing to host an observation. |
Observations lasted 2 to 8 h. Most observations sessions lasted 4 h. |
Investigator shadowed the RN performing clinical duties: |
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Field notes were taken openly throughout the observation sessions. |