From: Legitimizing neglect - a qualitative study among nursing home staff in Norway
Initial codes | Focused codes | Sub-category | Category |
---|---|---|---|
Experiencing conflicting needs Ranking care-duties Neglecting least important tasks/care Needing to rationing care Prioritizing physical over psychosocial needs Using time on documenting over patient-related activities Needing to do practical tasks/non-care duties Having to ignore resident asking for help | Prioritizing important/life-saving care Being task-oriented Needing to accomplish non-care duties Ranking residents needs Rationing basic care Down-prioritizing individualized care | Ranking and rationing of care | Normalizing missed care |
Experiencing overwhelming workload Lacking time to meet residents wishes/needs Lacking staff Management focusing on cost-cutting Management ignoring concerns from staff Management ignores lack of resources Experiencing little support from management Blaming management for neglected care | Describing demanding work-conditions Feeling continuous lack of time Lacking resources Feeling neglected care is out of their control Lacking support from management | Nursing under unavoidable and unfortunate circumstances | |
Lacking knowledge of routines Lacking knowledge about residents Lacking competencies about procedures Experiencing inadequate observations Describing delayed treatment Working with unexperienced staff Working with new and unknown staff Having to assist unskilled staff Needing to follow-up agency-nurses | Staff lacking knowledge and competency Working with unexperienced or unfamiliar staff Experiencing inadequate skill-mix |