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Appendix J

Appendix K

Final Interview Schedule

PROFESSIONAL AND PERSONAL DEVELOPMENT

What is your experience of the transition/adjustment from trainee to qualified professional? as a: professional?

person? psychologist?

(What is your experience of your ongoing development?)

CONTEXTS

What is your experience as a newly qualified CP of (your role in) the context of the NHS as a changing organisation?

(financial, structural, cultural factors)

What are your experiences as a newly qualified CP of multi-disciplinary team work? (this may be meetings / joint clinical work)

What skills do you have as a newly qualified CP in working with MDTs?

- Where these are from? (doctorate training/ Pre-training/ Ongoing learning?)

In relation to your role, what are your experiences as a newly qualified CP of any (personal or collaborative) difficulties or successes?

(personal/ related to MDT or organisation / cultural factors)?

- Can you tell me about your experience of mental/physical/emotional/relational reactions to any difficulties?

COPING

What helps support you / helps you cope in your role as a newly qualified CP ? - is this from clinical training?

- from workplace (supervision/further training eg CPD)? - personal skills/strategies?

How do you feel about how prepared/ready you were for your role as a newly qualified CP? - knowledge base

- specific skills… eg clinical/team skills

Appendix L

Example of analytical process from transcript to final themes and quotes

P2 27.10.2017.MP3

Reflections:

Bold = repeated quotes/comments (descriptive/conceptual/thematic)

Italics – linguistic comments/interpretations

Reflections Text Emerging themes

Tricky (question)

Difficult - shock – “dont feel like a trainee” - feeling responsible ‘All’ x2 – so much

‘Support’ – metaphor

‘you are on your own’– isolated realise x2/shock

Feeling responsible Missing the teaching – new knowledge & rest days?

Previous strategies – consolidation Loss of resources/strategies Support mediating transition/more resp?

SL: [00:00:01] The first question is, um, what is your experience of the transition or adjustment from being a trainee to being a qualified professional?

P1: [00:00:13] Well, umm, that's a tricky one. Looking back the transition was quite difficult, erm, I think it comes as a bit of shock and you really don't feel like a trainee anymore, um because all of a sudden you realise that you are responsible I think for all of your work, all of your clients, erm and although I had an amazing supervisor um when I first started er in CAMHS, umm who, and so I had really regular supervision which was really nice and very supportive. And but yeah all of a sudden you realize you on, you are on your own.

SL: [00:00:59] Mmm.

P1: [00:00:59] And it is your responsibility, erm, and I think I missed the teaching as well, like the, say you're busy working with your clients and then on Thursdays and Fridays you would go into uni and you would be taught kind of new stuff or you would consolidate old stuff and that would help you with then your clinical work and you just don't get that

anymore, and you don't have the time to revisit that stuff. Yeah...

SL: [00:01:26] Well hopefully we'll come back to some of the main points you've said there, but I just wanted to go back to the feeling responsible…

Transition is difficult Transition is difficult Feeling increased responsibility Importance of supervision Importance of supervision Feeling isolated Increased responsibility Loss of past resources

Transition is difficult Loss of thinking time

Less responsibility before, more now. Burden/weight

‘on yours’ (head) – jeopardy Risk – complex – danger Where is support from? Loss of support cautious not to miss anything – danger of missing? More responsibility than before Danger – responsib. / fear of mistakes.

(Fear? Avoidance? Discomfort?)

Head on the block

Fucked up – fear of missing something

P1: [00:01:33] mmhmm..

SL: [00:01:33] And, and ask what that felt like, so that, it sounded like it was a new responsibility.

P1: [00:01:39] Ummm...

SL: [00:01:39]... level of responsibility.

P1: [00:01:41] Yeah I think when you go through training you kind of make yourself feel better by thinking that actually, if anything goes wrong, it's on your supervisor's head, umm.

SL: [00:01:52] Mmm.

P1: [00:01:52] Whereas now it's definitely on yours. Umm, and I went into working in the adolescent team in CAMHS which is the team that deals with the sort of more high risk, more complex young people, um and so it was kind of figuring out where else you got your support from checking out your decisions, making sure that you'd kind of done everything that you needed to do, um in terms of mostly managing the risk I think, um, yeh was the challenging part, you're kind of, you feel a bit responsible for somebody else's life (laugh), which I think you don't necessarily feel so much when you're on training.

SL: [00:02:38] I notice that we're like doing kind of like a rye smile about this.

P1: [00:02:40] (laugh)

SL: [00:02:40] And I wonder if there's any like feelings to be named around the being responsible for someone's life as you put it. P1 [00:02:51] Yeh...

SL: [00:02:52] And what that experience is.

New level of responsibility

Increased level of responsibility

Wanting more support New level of responsibility New level of responsibility to training

Fearing feeling of ‘fucked up’ x2

‘Yeah’ - a fear of harm

not always possible to help ppl Helpless

sometimes people cant be helped You may accept – but will your organisation?

(You v organization?) Blame x 3

Fault x 3

Shame/judgment from colleagues

Fear of judgement 4th _fault

personal dilemma x2 * Pressure from service? ‘need’x3 to disch. Pressure. ‘you’ (her)

Personal dilemma x 2

personal v org’al philosophies?