Themes | Sub-themes | Codes | |
---|---|---|---|
1 | Risk and quality are conceptualized as integral to professional work | Making sense of necessary healthcare despite a lack of definition | Necessary healthcare as the core task |
The clinical gaze | |||
Making room for the staff’s professional assessments | Sharing information and discussing | ||
Person-centredness | |||
2 | Perceiving and assessing risk imply discussing and consulting each other– no one can do it alone. | Work-as-imagined– Planning the work but preparing for deviations | Assignment and work list as logistics and planning tool |
Work-as-done– Continuous adaptation in practice | Flexibility in the service and the work list | ||
Information flow, individual and joint sensemaking, and decisions | |||
Weighing risk and patient-centredness | The care receiver’s free will and integrity | ||
High-quality care and working environment | |||
3 | Leaders keep calm and look beyond the budget and quality measures by maneuvering within and around the system. | Making sense of the protocols | The financial model |
The reporting system | |||
Regulations, legislations, and national guidelines | |||
Defining leadership | Taking care of the staff | ||
Dealing with the context |