Table 1 Overview of the deductive analysis process

‘…it’s a support for me in my work.’ (131)

‘So we need, after all…you’re supposed to not slavishly…but we may be working with other methods that work, just…give as good an effect, exactly, so you cannot just buy it. I mean, it’s not that…oh, it’s great with evidence-based methods, but you still have to be vigilant.’ (130)

Research

‘I think it should be…it should lead Swedish health care; it should be scientific, but then, where there is no science, but we still see through our experience that it makes a difference; we must still retain it. But, at the same time, when we have evidence, we will use it, and if we don’t have it, we have to use our professional judgment.’ (137)

‘Some people might have an incredible ability to create supporting relationships. And some people may try their entire career, and it is no one who feels that they have a supporting relationship with them anyway.’ (136)

Clinical experience

‘…The patient is the one who knows if this is good or not; it is not the therapist, it’s not the professional…because then it will have no effect on the patient. I can sit and think a lot, but if the patient don’t think it’s good. …to constantly question, are we working on the right things, is this…does this work for you, or should we do otherwise…’ (143)

‘But how much it has spread and how pervasive it has been out there among the consumers is difficult to know.’ (114)

Patients experience

Local information

Context

‘…but now…yes, we are in a transformation phase now, where we have to take resources from employment and have more people working with IPS. It is our goal and our vision today.’ (119)

‘…So it is well to sit down and have time to plan what we are going to do. That might not really always…everyone just runs on, I feel sometimes, and I’m one of those who are running. I think we get very stressed by it [the release of the guidelines], and really, I wonder how much…how much it comes out the other end, but we are in a wheel.’ (114)

Culture

‘…this should we focus on, and we‘ll offer it in the whole county, so it is a management decision in the top-level psychiatric management team, but the discussions are, of course, out in practice.’ (132)

‘Then there is the top-level manager who is in charge. It is the person and what he believes. Yes, in this case, H now then…’ (135)

Leadership

‘To me, it’s so important to follow up on how things are that they call back somehow. That one…this when you are told that this far have we come today, to update people on how far we are…this has happened since then. For, otherwise, it is just a paper product again. And I’m a bit like that…I can miss this…we are so bad at follow up.’ (121)

Evaluation