Table 4 Thematic analysis of nurse interviews
Theme | Subcategories | Description | Significant statement examples |
|---|---|---|---|
PROMs feedback | Detail | Views on level of detail required (simplicity versus inclusion of supporting information) | “I found it very simple to look at and it’s very quick to get that information within a few seconds so that’s good when time is at a premium.” (3001p) “It was great. Nice and simple. I like simple…” (5001p) “I like the way that was laid out, that was good and clear and the actual sort of priorities written on the front.” (4001p) Supporting information: “I did refer to that because it was helpful just to understand a little bit more about where the patient had graded themselves.” (3001p) Supporting information: “For us to take this information further it was useful to have the background as well.” (3001p) |
Awareness | Extent to which the PROMs summary encourages patient awareness of their health | “I think that’s a really good idea, absolutely. And it doesn’t have to be just for chronic disease either, a patient very often comes in here with more than one issue, so if they’d had a chance to reflect on it and let us know about it in advance we might have more chance to prepare for them coming in the first place.” (5001p) | |
Prioritization | Extent to which the PROMs summary encourages patient prioritization | “…making sure that we’re not missing the thing the person came into talk about.” (4001p) “I used their health priorities on your form as a starting point for the consultation, so where I would normally have done physical things, measured their height, their weight, do breathing tests, do feet checks for diabetes, take blood, I actually started the consultation with “I see these are the things that you want to talk about today” and then brought the review round their priorities rather than starting from my own viewpoint.” (5001p) | |
PROMs as part of routine care | Patient monitoring | Extent to which the intervention encourages patient monitoring | “Yeah definitely, especially if you’ve made a change to their treatment. It’s really nice to have some quantifiable feedback to see how that compares to before they had the treatment if that makes sense.” (5001p) |
Patient experience | Nurses’ perceptions of the patient experience | “All the patients that took part in it, all the feedback that they gave to me verbally, was that it was a good experience. Some of them said it was the best review they’ve ever had, they felt they were listened to…” (5001p) | |
Patient management | Nurses’ perceptions of patient management | “From my point of view it was quite positive because I think the problems I was dealing with seemed to be well managed and that sort of came across.” (2001p) |