Table 1 Themes and subthemes

Attitudes towards the health-promoting intervention and its feasibility in the NH setting

Different understandings of the health-promoting intervention

Empathic and person-centered attitudes

Need to take responsibility and create enthusiasm

Intervention-related challenges, frustrations and needs

Fear of lacking time or putting pressure on residents

Having realistic views about the needs that could be met

Sense of responsibility to do well that could create tension

Need for a model that motivates staff long-term

Aspects of collaboration and opportunities

Develop care using new support strategies

Integrating the ONS/STS concept works best

Leaders must create conditions for continuity