Table 1 Summary of interview questions
General Questions | What do you think about efforts to standardize clinical practices on labor and delivery, in general? |
What do you think about efforts to standardize the management of labor induction? Can labor management be standardized? | |
What do you think about the goal of reducing cesarean rate? | |
Barriers and facilitators to implementation of standardized labor induction practices in general | Did you utilize the protocol for patients who qualified? Can you tell me more about the reasons why/why not? |
How do you feel the standardized protocol compares to what you did before? | |
Can you think of barriers that got in the way of using the standardized induction protocol? | |
What was your experience interacting with other clinicians or staff on your unit in relation to using the induction protocol? | |
How has the culture of labor and delivery at [insert hospital] influenced the use of the induction protocol? | |
Are there any external to the hospital factors (national policies or laws) that you think have influenced the implementation of the induction protocol on your unit? | |
Do you ever have to choose between what safety or quality processes to follow due to time or resource constraints? How does the standardization of labor induction implementation fare when you have to make those kinds of choices? | |
Acceptability of current implementation strategies around the standardized labor induction protocol | What are your thoughts about how the evidence behind the induction protocol was described and communicated to you? |
We used a few strategies to try to facilitate the implementation of the induction protocol and I would like your opinions about each, especially whether the strategy helped. | |
Suggestions for improved implementation and sustainability | What kinds of changes could be made to improve the protocol? |
Would additional resources or supports help increase the use of the protocol? If yes, what are they? | |
Do you plan to use the labor induction protocol moving forward? | |
Do you think the standardized labor induction protocol will be used by others on your unit long term? | |
If you went to another institution, would you take it with you as a whole? As specific components? |