1. How do you participate in structuring the work environment to facilitate integration of new evidence into standards of practice? 2. How do you respond when a staff member questions the rationale for routine approaches to care that result in less- than-desired outcomes or adverse event? 3. Who is responsible for continuous improvement in clinical practice based on new knowledge? 4. How do you use quality measures to understand performance? Is this important in your role? What training have you had in using quality tools? Where did you receive or learn those skills? 5. Do you see any gaps between local and best practice? If so, describe