Table 2 Process of analysis, with examples of meaning units, codes and categories corresponding to the themes
Meaning unit | Codes | Category | Theme |
|---|---|---|---|
”… in a very structured way introduced in our PHC. .. What should I do when I have diagnosed a patient with hypertension? … We circulated and then everybody got to talk… There was suddenly time for reflection.” - Female | Structured group meetings give stimulation, opportunity for reflection | - Feedback by peer-learning | Learning to use guidelines by interactive contextualized dialogues. |
”When the guidelines were to be updated all the GPs were invited to a meeting…It was a short presentation followed by a long dialogue…” –Female | Cooperation between primary and secondary care regarding new guidelines. | - Feedback by collaboration, mutual learning and equality between specialties | |
“After a couple of years I felt that … I know how to do this and continued to work without checking the guidelines… suddenly something went wrong… I got scared and started to check again.” – Male | Confirmation of knowledge assures quality of care. | - Confidence by confirmation | Learning that establishes confidence to provide high quality care. |
” “I used to work in Gotland so I usually call the hospital there since I know everyone… I am always familiar with the person that I am talking to…” -”Female | Reliability from consulting familiar, competent colleagues. | - Confidence by reliability | |
” I would like to see results…I want follow-ups, personal follow-ups…If I never get feedback on what I am doing…why should I care??” – Female | Evaluation of improvement encourages adherence to guidelines. | - Confidence by evaluation of own results | |
“It should not be too compact…arranged in a recognizable pattern so the information is easy to find.” -Female | Pedagogic lay-out | - Design and layout visualizing the evidence | Learning by use of relevant evidence in the decision-making process. |
”The biggest problem is lack of time…Oh God there is so much information, where should I start.” - Female | Poor search- function time-consuming | - Accessibility adapted to the clinical decision-making process |