Table 5

Data supporting interpretations of discrepant needs

Family member’s other-related vs. resident’s self-related needs
Differing views on practical and everyday issues‘His daughter-in-law kept saying he’s never worn short underpants. Now that she finally brought them, the resident is very happy.’ (Nurse)
‘Some next-of-kin don’t realise how unwell a resident is, like [when they are] too tired to attend a daytrip. There may be suspicion towards us for why we didn’t go.’ (Nurse)
‘He thinks he’s not here to stay. He probably thinks if [his hobby-related items] are brought here, the last chance [to go] back home is gone.’ (Adult child)
Family members’ good intentions do not always serve the residents’ best interests‘What’s ethically correct? Is it okay that she comes every day and the [resident] becomes sad every day [that] she doesn’t take him with her?’ (Nurse)
Family member’s self-related needs vs. resident’s self-related needs
Family members’ false motives or false assumptions about residents’ needs => Negative influence on resident‘We had a difficult consideration, as [her male friend] wants her home sometimes. [Her] daughters worry whether she’s being abused.’ (Nurse)
‘She’s anxious if her sons visit. They’ve sometimes bummed money off her.’ (Nurse)
‘Mum clearly gets tired. She probably wonders, “Who is this? Maybe I know her”.’ (Adult child)
‘It’s a pity that some residents don’t have next-of-kin, or they are not in touch. Mrs. E. started crying because she never has visitors.’ (Nurse)

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