Responses to the post-intervention questions related to feasibility and acceptability were evaluated against demographic data associated with the corresponding participant code to determine if there were any relationships between demographics and feasibility and
acceptability. No trends were identified in comparison of these two sets of data. Feedback regarding acceptability and feasibility was positive from all participants, regardless of the demographic data.
The post-intervention feasibility and acceptability questions are summarized below and aligned with the feasibility criteria identified by Bowen et al. (2009). Acceptability is the evaluation of the recipients’ reaction to the intervention, and practicality explores the extent to which an intervention can be delivered with resources, time, and commitment (Bowen et al., 2009). There were seven questions in the post-intervention survey pertaining to feasibility and acceptability, with four evaluating acceptability criteria, three evaluating practicality criteria, and one item about implementation. Below are summarized responses from 13 interviews. As shown in Table 1, I chose selected quotes from the interviews that exemplified a variety of the nurses’ feelings and viewpoints as well as a summary from each question
Table 1
Post intervention interview, Feasibility and Acceptability Questions-15-21 Questions, Quotes, and Summaries
Acceptability Criteria Question
15. What is your satisfaction with the length of the overall program and individual sessions?
Selected Quotes “It zoomed by.”
“Never felt like they needed a break.”
“Had plenty of time to get all of the group discussion and assigned work done.” “I liked how it was all set up.”
“Yes, I thought it was good.” Participant B
“I like the length of three weeks but sometimes it can be hard to get three [same day] days off within one month, so I do think that two sessions would be good as well.” Participant C
“Yes, I thought it was very appropriate, either two or three sessions.” Participant J “Yes, I think it would be great to do a week-end retreat.” Participant E
“Yes, I was very happy with it.” Participant D
“Yes, I would have liked to have had the article as not a homework assignment, but maybe presented and discussed in class.” Participant H
Summary
Overall, the participants’ responses indicate they were pleased with the length of the program. It was noted that a two- day program might be considered as well. A week-end retreat was suggested as well.
Question
16. Was the flow of information logical to you? Quotes
“I liked how we picked one topic, then focused on it, then breaking it apart, that was really cool and helpful, and I think productive.”
“Yes, the explanations were very clear.”
“You were there to help everyone, so it was very logical.” Participant C
“Even though I was only able to make two sessions, you made it able to where you could catch up.” Participant L
“The small groups of three or four just seemed to work out well.” Participant L “Yes, sorry I had to miss one, but it all came together in the end.” Participant B “Yes, and I even missed one day but was able to catch up.” Participant J
“Yes, I like how everything kind of tied in together – the articles, the learning, the discussions.” Participant E
“Yes, I was able to follow along very well.” Participant D “Yes, definitely make sense to me.” Participant H
Summary
All participants said they felt that the flow of information and structure of sessions was understandable and logical. Overall, they liked the detailed explanations and tools that were used, and they thought that everything flowed logically.
Question
17. What, if anything would you change about the intervention? Quotes
“Would have liked it to go on longer.”
“If we had more time to write a longer story perhaps. I think people could write a journal about this honesty.” Participant
L
“I thought the length was perfect, liked the amount of time that we were there. I like how everybody participated and we had a good group.” Participant B
“Nothing immediately comes to mind.” Participant C
“Maybe giving people more time to write their moral distress stories, but I don't know” Participant J
“Maybe like a week-end retreat.” Participant E
“I would have liked to have more time to write the moral distress story.” Participant H Summary
The participants were generally satisfied with the program. There was a suggestion about the journal article and homework assignment, wherein the participants felt it would have
been beneficial to either provide time during the intervention to read the article or to provide a bullet-point summary of the article for the group to help answer the journal article questions. Several people would have liked more time to write their moral distress stories, giving to the notion that that should be worked into sessions, or perhaps taking home and journaling instead.
Question 18.
Were there any specific topics covered that you were not comfortable with? Quotes
“No I felt very safe during the program.”
“We were all in it together, and I like hearing the other stories.” Practicality Criteria
19. Were the surroundings comfortable? Quotes
“I think this place is awesome.” “This was a nice central location.”
“I got lost the first day but that had nothing to do with the location or parking.” Participant C
“No, I thought that it was all very private and safe place to talk.” Participant J “No, no problem.” Participant E
“No I was very happy with the physical location, it was private, there was food.” Participant D
“I was very happy with the location I didn't think it was too far away or anything.” Participant H
Summary
All participants indicated satisfaction regarding location and felt that the room was comfortable and provided a safe space for the intervention.
Question
21. Can you tell me why you were not able to attend all three sessions?” Quotes
“I am sorry, I would have really liked to attend, it was out of my hands.” Participant F “My babysitter fell through at the last minute.” Participant B
“The first day I got called into work.” Participant C
“I got really sick on the morning of the session.” Participant J Summary
Their reasons for not attending included a death in the family, two cases of illness, one case wherein their child was sick, and on had an emergency with a babysitter, and two were called into a work mandate. In the post intervention individual interviews,
participants who only attended two sessions nevertheless felt they were able to catch up with the content and participate in the intervention in a meaningful way.