TABLE 2.
Focusing | Knowing | Anticipating | Evaluating | Trusting | |
---|---|---|---|---|---|
Nurse interview | ‘Observe and talk to the patient about how he is doing.’ | ‘Provide the right diet, and see changes in the patient.’ | ‘Includes the patient's preferences and seek to fulfil these.’ | ‘Adjusts the diet according to what the patient can manage.’ | ‘Took the time to sit with the patient while he was eating.’ |
‘Focus is on dietary monitoring and less on the patient's nutritional needs.’ | ‘No time to familiarise with the patient to be able to assess the patient's nutritional needs’ | ‘It's up to each nurse to assess and decide whether the patient gets enough to eat.’ | ‘It's a problem that we help each other to collect the meal trays if you need to focus on what the patient eats.’ | ‘Do not have the time to make a relationship with the patient during meal serving.’ | |
Patient interview | ‘Feels that the nurses have time for talks and to guide me.’ | ‘The patient became aware that he wasn't eating enough when the nurses started to ask.’ | ‘ There were facts about food the patient would not know about if the nurses had not talked about it.’ | ‘Options can motivate you to try and eat a bit more.’ | ‘Assuming the food was good, he was encouraged to eat.’ |
‘Could well have wished that a nurse had sat down and explained why the requirement to drink is so high.’ | ‘Lacked the blood glucose measurement result and became unsure about the insulin.’ | ‘ No one has explained to the patient why protein is good for her.’ | ‘Nobody talked about his diet, and he needed food he could eat rather than being forced to choose from the menu card.’ | ‘The nurse was very insistent that he should take insulin before the meal, but he knows what he needs.’ | |
Fieldnotes /observations | ‘Informs the patient about the importance of consuming protein for the wound to heal.’ | ‘The patient is offered a protein drink because he does not eat enough. He gets one with a taste he likes.’ | ‘The nurse negotiates with the patient and makes her order a little more dessert and fruit.’ | ‘The patient has not eaten enough; however, the calories are good. The nurse asks if the patient has nausea.’ | ‘Relatives are informed of the patient's dietary intake; the nurse offered soup as the patient has difficulty eating.’ |
‘The patient is clearly ill and has difficulty breathing. The nurse continues to order food for the patient.’ | ‘The patient sleeps. He has not eaten very much; nobody talks to the patient about it.’ | ‘The patient is unsure about how much she should drink when told that she should drink a lot.’ | ‘The nurses take out meal trays without talking to the patients; one patient says he wants to keep his yoghurt.’ | ‘The nurse finish ordering the food on her screen and leaves the patient without asking how she is feeling.’ |
The codes in the grey row exhibit codes for the presence of each element, and the white exhibits codes for the absence.