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Table 2 Quality content analysis of interviews with managers (n = 22)

From: Towards evidence-based palliative care in nursing homes in Sweden: a qualitative study informed by the organizational readiness to change theory

Category in ORC Sub-category Explanation
Change efficacy Competence and confidence (F/B) Competence and confidence have to do with the staff’s experience and knowledge concerning palliative care issues and their beliefs that they can learn the principles of palliative care and develop evidence-based palliative care in the nursing home
Face dying persons (B) Facing dying persons concerns the staff’s beliefs in their capabilities to address or handle death and dying persons to be able to develop evidence-based palliative care in the nursing home
Change commitment Motivation (F/B) Motivation concerns the staff’s willingness and determination to develop evidence-based palliative care in the nursing home
Attitudes to work in general (F/B) Attitudes to work are associated with the staff’s interest and engagement in their work in general of potential relevance for developing evidence-based palliative care in the nursing home
Attitudes to changes at work (B) Attitudes to changes at work are related to the staff’s resolve to pursue development of evidence-based palliative care in the nursing homes despite experiencing many concurrent changes at work
Context Resources (B) Resources refer to the availability of financial and personnel resources of relevance to developing evidence-based palliative care in the nursing home
Time (B) Time has to do with the availability of time to allow the staff to learn the principles of palliative care and develop evidence-based palliative care in the nursing home
Plans (F/B) Plans relate to developing structures or concrete strategies for continued efforts to develop evidence-based palliative care in the nursing home
Leadership (F) Leadership deals with the influence of the nursing home managers and other leaders on the staff in order to develop evidence-based palliative care in the nursing home
Decisional latitude (F/B) Decisional latitude refers to the nursing home managers’ autonomy to make work-related decisions conducive to developing evidence-based palliative care in the nursing home
  1. The three categories of the Organizational Readiness to Change (ORC) theory concern change efficacy, change commitment, and context [17]. The sub-categories act as facilitators (F) and/or barriers (B). F are those that are likely to contribute to or enable development of evidence-based palliative care according to the managers’ statements, whereas B are those factors that can be expected to hinder this development on account of the managers’ descriptions. Some factors functioned as both F and B (listed as F/B)