Table 3 Learning experiences sub-categories and related codes
Category | Sub-category | Codes | Illustrative quotes |
|---|---|---|---|
Organisational learning | Quality improvement of care | Care improvements Effect of care Consensus | In reality, we observed a positive effect on patients, I would say. Everyone worked together towards a common goal. When something is decided, then we should pull in the same direction, it is important that everyone join in on the decided actions. |
Facilitation | Assure structure Shared experiences Idea development Learning together | When we had the structured meetings, I did not feel that … [the meeting slipped off course] in this meeting, we kept the structure. You have to think in new ways. Maybe we’re not very good at that, that more of us sit together and think out loud. The point was not just to intervene on the included patients; we were also supposed to learn to have structured meetings, weren’t we? These kinds of meetings are useful, […], we may have different information about the patient and see things differently, at the same time we are supposed to agree on one thing that could benefit that patient, and systematize our efforts. | |
Adjustments | Local practice Prioritisation of time used | I wonder if we have worked differently, some have done one measure, but we in [unit] C took the whole patient and went through all the measures during the meeting. Obviously, this lasted more than 20 min. Initially we met towards the end [of the shift], then we realized that maybe 12 o’clock was the best time … so that everyone did not withdraw [from the ward] at the same time. We become so consumed by our daily routines, so the best time to meet is actually after two o’clock. | |
Individual learning | Personal development | Consciousness Reflection Motivation Engagement | Actually, we have always formulated care plans and such, but when we had those meetings, we explored the patient’s situation more deeply. You become more thoughtful on the things you are doing. I observed progress, very satisfying to see that it was possible. When you’ve had sufficient training, like us, then you may also feel inspired. You become more compassionate when you try to withdraw a bit and observe it from a bird’s-eye view, and look into causes of why things turn out this way or that way. |
Improved skills | Resident assessments Documentation of care | What I see mostly, is that many unjustified opinions have stopped, at least in the care plans. What is documented, has become much more concrete. Likewise, with the update of information on the computer, it was very helpful to do that simultaneously during the meetings. We wrote down the care that was decided. This was pretty detailed and concrete, and then everyone had to do it in the same way. |