Table 2.
Thematic network: from codes to global theme
| Basic Themes (codes) | Issues discussed within basic themes | Organising themes | Global Theme |
|---|---|---|---|
| - Nurses police adherence | • It is the nurses responsibility to monitor adherence. | 1. Nurse power, patient vulnerability | Social representations of a ‘good patient’ that govern nurse-patient relationships and facilitate/undermine ART adherence |
| - Nurses are powerful | • Nurses are in a powerful position compared to rural, poor and uneducated patients. | ||
| - Patients powerless | |||
| - Nurses are frightening | |||
| • ARV users are not in a position to assert their needs or dissatisfaction. | |||
| - Nurses reprimand | • Nurses are powerful mediators between doctor and patients. | 2. Distressing situations patients seek to avoid | |
| - Young nurses | |||
| • Young nurses appear more authoritarian. | |||
| - Nurses treatment power | |||
| • Nurses have the power to undermine doctors. | |||
| - Punishments | • Nurses can decide to punish patients if they do not behave as expected. | ||
| - Nurse expectations | |||
| - Clinic visits | • Patients do not know what their monthly clinic visit will be like | 3. Predictably unpredictable clinic visits | |
| - Worry | |||
| - Waiting time | |||
| - Unpredictability | • Patients often have to wait for a long time to be seen. | ||
| • Patients try to make the best out of their visits to the clinic. | |||
| - Well behaved | • ARV users should comply with the instructions given, including attend timely review dates | 4. Representations of a ‘good patient’ and why patients seek to perform within them. | |
| - Follow instructions | |||
| - Obedient | |||
| - Timely review dates | |||
| - Is taking drugs timely | • ARV users should be obedient to nurses | ||
| - Being positive | |||
| - Being good natured | • ARV users should be positive and content with the service received | ||
| - Wait patiently | |||
| - Honesty | |||
| - Listening closely | |||
| - Committed to treatment | • ARV users should be open, honest and accept help readily | ||
| - Clean and smart | • ARV users have sourced out what nurses would like from them and maintain a good relationship by living up this. | ||
| - Negotiating a good relationship | |||
| - ‘Good patients’ do better | |||
| • ARV users should be clean and well dressed |