Examples of codes | Preliminary themes | Final theme |
---|---|---|
Patient journey- new discoveries Trusting each other more Checklists clarify responsibility Checklists increase predictability Learning about and from others Getting to know each other From the patient’s point of view Wanting the best for the patient Colleagues around the user Working together for the sake of the user Common understanding-common goal WMTY- from random to systematic WMTY-Working with, not for, the user | Formal and informal practice is revealed New discoveries about the patients, new discoveries about each other Negotiating checklists to improve the patient journey What we have in common is the patients Facilitating a new common understanding of the patient journeys | Finding common ground through the mapping of the patient journey |
Thinking in more holistic terms Understanding the system A shared responsibility A more holistic approach “Patient pathway” triggers person-centeredness Task orientation Thinking ahead | From task orientation to more person-centered care Not just here and now, not just me Patient has a past present and a future Expanded knowledge about the pathway | The importance of understanding the whole patient pathway |
Finding someone who knows the patient Being knowledgeable and professional Home care knows them well Getting acquainted WMTY-same but different Safety for the patients Talking to informal caregiver Next of kin as resource More holistic information about the patient Being knowledgeable and professional Establishing a common language Focus on documentation content Signaling we know you | The home as the alpha and omega of the pathway Knowing the patient in different ways Seeing a different version of the patient | The significance of getting to know the older patient |
It’s often too late Out of sight, out of mind Keeping them at home Focus on physical function at home Safety at home Focus on standardized assessment at home More proactive thinking | Home care nurse as a link between the before and after in the patient’s journey They know the patient and their home-situation best From task orientation to more comprehensive care Keeping older people safe at home | The key role of home care providers in the patient pathway |
Skepticism towards the QIC work Checklists- not being used Checklists- not the whole solution Checklists- enthusiasm Checklist- skepticism Importance of anchoring with leaders Unpredictable pathways Overwhelming complexity Need for resources to implement | Checklists as universal remedy Unpredictable patient pathways within a more systematic frame The checklists are a symptom- not the whole solution From random to systematic care for the older patient Bottom- up is good but necessitates top-down support Resources are crucial for implementation | Ambiguity towards checklists and practice implementation |