The Human Tissue (Authorisation) (Scotland) Act 2019: qualitative research - October 2019 to January 2020

Findings from qualitative research undertaken between October 2019 and January 2020, with NHS staff involved in organ and tissue donation across Scotland, concerning attitudes toward organ and tissue donation and ‘The Human Tissue (Authorisation) (Scotland) Act 2019’.

Annex C. Interview Topic Guide, as submitted as part of the Evaluation’s NHS RINTAG application

Qualitative Interview Topic Guide

Questions guiding the Baseline Service Evaluation:

  • What are NHS staff members’ views on, understanding and awareness of the new opt-out authorisation system?
  • What are NHS staff’s views on the NHS organ and tissue donation system, and donation as part of end-of-life care?
  • How can successful early identification and referral of potential donors, and successful authorisation processes best be supported? What supports a reduction in missed donation opportunities? What are barriers to the successful realisation of these aims?
  • What are key areas that trainings should target to raise awareness and knowledge of, and support for tissue and organ donation, and opt-out authorisation among NHS staff?

Interview Questions Topic Guide

A. Introduction, overview of study, consenting:

  • Thank you for seeing me today and offering to take part in this study.
  • I would like first to outline the study so that you are able to decide whether you wish to proceed further (recap information sheet).
  • Sign consent form × 2 (one for participant and information sheet, one for interviewer).
  • (Topic List) I have a list of topics that I want to address, which will pertain to your perspectives on donation, donation processes, the change to an opt-out authorization system, and NHS staff trainings relating to this.
  • Feel free to ask questions at any stage during the interview.
  • I might make a few notes in case I want to come back to something later.
  • Need to make sure it’s clear that your personal information will be kept confidential, only viewed by myself, and that data will de-identified to 4 geographical regions, and NHS role.

B. Interview Discussion:


1. Background information on the interviewee.

  • Current and any prior relevant roles/responsibilities, training, duration in employment.

2. Views on, understanding and awareness of the new opt-out authorisation system

  • What is your understanding of the new legislation, that will change donation authorisation from opt-in to opt-out?

3. Views on, and attitudes toward organ and tissue donation/donation system

  • What are your views on donation and the current donation system?

4. Trainings

  • What do think works about the donation process well? What doesn’t?
  • What supports successful authorisation processes?
  • What supports a reduction in missed donation opportunities?
  • What are barriers to these?
  • What do think should be targeted in NHS staff trainings to make a change to opt-out authorisation system a success? To support overall donation rates?



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