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Table 2 An example from the coding process

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