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Table 5 Codes from interviews A and B

From: Developing a person-centred care environment aiming to enhance the autonomy of nursing home residents with physical impairments, a descriptive study

Aspects derived from PCC

Codes of organisation A

Respondents

N = 8

Followed by fragments

Codes of organisation B

Respondents

N = 9

Followed by fragments

Power sharing

Organisation of participation: client council (6 fragments)

A8:6

Organisation of participation: client council, management team extended with clients and advised by guides, bottom-up signals (13 fragments)

B2:1, B4:5, B6:3, B9:4

 

Participation in decisions of daily life/ living together: living room meetings in the unit (1 fragment)

A1:1

Participation in decisions of daily life/ living together: living room meetings in the unit (3 fragments)

B2:2, B9:1

 

Self-managing teams (3 fragments)

A1:1, A2:1, A3:1

Self-managing teams (1 fragment)

B6:1

Supportive organisational systems

Offering training, tools, coaching (9 fragments)

A1: 2, A2:2, A3:1, A4:1, A6:1, A7:2

Offering training, tools, coaching (16 fragments)

B1:2, B3:1, B4:1, B5:7, B6:5

 

Establishing structures for: regulatory requirements, quality measurements, coaches, work schedules (5 fragments)

A1:1, A6:3, A7:1

Establishing structures for: regulatory requirements, quality measurements, coaches, guides, role models, organisational consultation structure (27 fragments)

B1:4, B2:6, B4:2, B5:6; B6:5, B8:3, B9:1

 

Role managers: coach, policy making, intervene in case of discrepancies (7 fragments)

A1:1, A2:2, A3:1, A6:1, A7:1, A8:1

Role managers: support, coach, basis in order, intervene in case of discrepancies (21 fragments)

B2:2, B4:4, B5:8, B6:7

 

Define vision and core values, communicate these to staff and clients, evaluate these and live by these (19 fragments)

A1:2, A2:5, A3:4, A4:1, A5:3, A6:3, A8:1

Define vision and core values, communicate these to staff and clients, evaluate these and live by these (31 fragments)

B1:2, B2:4, B3:1, B4:9, B5:5, B6:8, B7:1, B8:1

Appropriate skill mix

Team composition: Mix of expertise/ well-trained (4 fragments)

A1:2, A2:1, A3:1

Team composition: Mix of expertise/ well-trained (11 fragments)

B4:2, B5:2, B6:2, B7:1, B8:4

 

Sufficient permanent staff: not always possible, turnovers, effort to become a team again and again (12 fragments)

A1:2, A2:1, A4: 1, A7:7

Sufficient permanent staff: not always possible, turnovers, effort to become a team again and again (7 fragments)

B1:1, B2:1, B4:3, B5:2

Potential for innovation and risk taking

Organisational culture: the courage to develop a policy to enhance autonomy in the face of cut government budget (1 fragment)

A2:1

Organisational culture: the courage to develop a policy to enhance autonomy in the face of cut government budget (2 fragments)

B6:2

 

Space to regulate: being allowed to make mistakes, to develop, to take initiatives, to plan duty rosters themselves, to budget. (16 fragments)

A1:1, A2:6, A3:1, A6:2, A7:7

Space to regulate: being allowed to make mistakes, to develop, to take initiatives, to plan duty rosters themselves, to budget. (21 fragments)

B1:3, B2:5, B3:2,B4:2, B5:2, B6:5, B8:2

 

Expectations of care technology: maintaining autonomy (1 fragment)

A6:1

Expectations of care technology: ADL, electronic care record, medication administration, mobility (5 fragments)

B4: 4, B6:1

 

Increasing choice: when to get up, when to eat, when to drink, choice for activities (12 fragments)

A1:4, A2:1, A5:2, A6:2, A7:1, A8: 2

Increasing choice: when to get up, when to eat, when to drink, choice for activities (15 fragments)

B2:6, B3:1, B6:2, B7:5, B9:1

The physical environment

Adjusting to needs (6 fragments)

A1:2, A2:2, A5:1, A7:1

Adjusting to needs (5 fragments)

B1:3, B3:1, B4: 1

 

Increase freedom of choice: decorate own room (2 fragments)

A5:1, A7:1

Increase freedom to go outside: do residents have an own or lend key to enter the building (1 fragment)

B2:1

 

Limited choice to move to a preferred nursing home due to waiting lists (1 fragment)

A5:1

  

Effective staff relationships

  

Dilemma as a staff member: working together as a team, working with a manager who does not want to go along with the policy? (3 fragments)

B1:1

B2:2

   

Role of managers: do they actually want to share power? (2 fragments)

B2:2

Shared decision- making systems

Setting boundaries: professional code (1 fragment)

A5:1

Setting boundaries: professional code (2 fragments)

B6:1, B8:1