Table 7 Findings from analyses of focus groups: Excerpt from the development of the theme: facilitators and barriers for maintenance
Sub-themes | Codes | Condensed meaning units | Meaning units |
|---|---|---|---|
An easy to grasp model | Simple to understand Immediate result of their efforts for the residents | A Simple and manual based model A tool that works | “It is all written, black on white, step by step, and so you have these forms, so it is easy to use, yes, it is a simple system” (Staff). “Then you have these columns where you write things, and it makes it easier….to understand the whole situation for the resident” (Staff). “And we saw that those residents included in the study, did get a better everyday life, we put more emphasis on what is important for them. So, yes, we can see that we have changed the way we care for them” (TIME-administrator). |
The role of leadership | Leader | The leader is responsible in prioritising time and space for the assessments and the case conferences, and to follow up and ensure that the tasks are executed | (4). “I had to push them a bit. Well, they did know about the TIME model, or the schedule, and everything they were supposed to do, but as a leader you must facilitate or else they won’t get it done. Yes, I think I must allow them the space. Tell them that now you should spend time on this” (Leader) |
The TIME-administrators (champions) role as leaders | The importance of being an engaged team of TIME-administrators (champions). | (3). “At my ward, we are four TIME-administrators. So, in a way, we are many to pull the load. So, I think we do well, because we are engaged. It is not just one person that has to work hard” (TIME-administrator) | |
Training is given to everyone | The importance that the leader included everyone in the educational program of the model | (4). “I think it is crucial that everybody learned the same thing, that everyone participated. And it was also a bit developing our own competence. In that way, I included temps... so, it is much easier, when everyone has heard about it” (Leader) | |
Organisational conditions | Participation in the case conference should be compensated | (4). “The TIME model is so important, that if we are going to succeed, we must give them time off. For we cannot expect them to attend the case conference in their spare time” (Leader) |