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Appendix B: Focus Group Interview ProtocolThank you for agreeing to participate in an interview today. The interview will last about 30 minutes and will focus on VTE prophylaxis. I would like to record our interview, if that is ok with you. The recording will be transcribed for analysis. Your name will not be included in the transcript and results, if reported, will only be reported in the aggregate. Do you have any questions for me before we begin?How long have you been a nurse on this unit? Probe: How long have you been a nurse? What have you been taught are the components of VTE prophylaxis? Probe: How do you discuss VTE prophylaxis with patients? Probe: When do you discuss VTE prophylaxis with patients?Probe: How do you document VTE prophylaxis? Probe: Is there a place to put comments? What are some situations that would warrant adding a comment? Who do you think is responsible for ensuring VTE prophylaxis in the hospital? Are there times when VTE prophylaxis is not necessary?What are the barriers to VTE prophylaxis?Do you have multidisciplinary rounds? Probe: Do pharmacists round with the team? Does PT have a role in VTE prophylaxis? Probe: What is it? When you look at the map, where do you think there are problems or barriers that could be improved? Do you try to convince patients that VTE prophylaxis is necessary? If so, how much time do you allocate to this conversation?Probe: How do you engage the patient and try to convince them?Probe: What evidence, if any, do you use to support your argument? Probe: Do you ask the patient again on subsequent days of hospitalization?Do patients ever refuse to ambulate?Probe: If you had to estimate, what percentage of patients refuse to ambulate?Probe: Why do they patients refuse to ambulate?Probe: Do you get physician/resident back-up when you are trying to convince a patient that ambulation is necessary or is the attitude amongst physicians prohibitive to that?Do patients ever refuse to use SCDs?Probe: Is there ever a time when the SCDs weren’t available or working?What do you do?Probe: If you had to estimate, what percentage of patients refuse to use SCDs?Probe: Why do they patients refuse to use SCDs?Probe: Do you get physician/resident back-up when you are trying to convince a patient that SCDs are necessary or is the attitude amongst physicians prohibitive to that?Do patients ever refuse to have their chemoprophylaxis administered?Probe: is there ever a time when the drug is not available in the Omnicell? What do you do?Probe: If you had to estimate, what percentage of patients refuse chemoprophylaxis?Probe: Why do they patients refuse chemoprophylaxis?Probe: Do you get physician/resident back-up when you are trying to convince a patient that chemoprophylaxis is necessary or is the attitude amongst physicians prohibitive to that?What concerns, if any, do you have about chemoprophylaxis? Can you tell me about the training you have received about VTE prophylaxis? Probe: Is it all on-the-job learning?? Probe: Do you have huddles at the start of the shift? If so is it ever brought up there? What is the best time and location to have education on topics such as VTE prophylaxis?Do you have any anecdotes that you’d be willing to share with us regarding VTE prophylaxis? ................
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