Table 2 ICU RN focus group questions (SEIPS framework domain in parentheses)

What is the longest, oldest catheter that has been in one of your patients? (Person)

Could you walk us through the steps of what you would do if you were concerned about a patient’s urine? What prompts you to order a urine culture? (Organization)

How do you collect a urine sample from both a patient who is with and without a catheter or nephrostomy tube? (Task)

Would you say that there are challenges or difficult processes about collecting a clean catch sample compared to doing it with a Foley or nephrostomy tube? (Task)

When do you assess patients for urinary symptoms or changes in urine appearance/output? How does that fit into your work day? (Process)

Suppose you have collected a urine sample or you are concerned about urinary symptoms, what kinds of barriers or challenges have you noticed when communicating these concerns to the provider? (Technology and tools)

Is there anything about the work environment that makes it challenging or affects your ability to get a urine sample? (Physical environment)

Do you feel that there is any difference between experienced nurses vs. younger nurses in terms of how to approach ordering urine cultures? (Person)

How do you feel this issue affects patient safety or quality of care? (Patient outcome)

How does this topic affect your job satisfaction or stress? (Employee or organizational outcome)