Table 2.

Central theme and subthemes with related key topics.

Physical activity is not a priority	The hospital is a place for rest	A culture of bed rest
		Risk-reductive approach
		The physical environment
	There are not enough resources to make movement a priority	Not enough time, personnel or equipment
		High workloads
		Promoting physical activity is resource intensive, particularly in sick patients or patients with many attachments
	Everyone's job is no one's job	Shared responsibility but no clear perceived ownership
		Need for effective team collaboration
		Lack of knowledge/skills
		Patient’s own responsibility
	Policy and leadership drives priorities	Falls prevention, manual handling and mobility policies can deter from physical activity promotion
		Leadership in promotion of physical activity was important