Table 3 Research question 3: themes and... | Emerald Publishing

Table 3

Research question 3: themes and examples of meaning units/quotes

Q3a. Opportunities in the vision of close care	a. Common stepping stone for implementation	“A movement has started, and there is an incentive among co-workers because they now see the need (for a change) …” (participant 13)
		“I believe it is important to have a vision, and it has been a good process … it is established, and nobody really questioned the layout or content …” (participant 7)
		“Deep down, I feel that we have agreed on Close Care in Sörmland … I think the visual picture is nice … citizens in the middle and co-workers and the organisation looking out over Sörmland. I am satisfied with the picture” (participant 12)
	b. Harmonisation with other visions for health care	“All regions shape their own picture/vision of what is important, but if we look at the other regions and wording at large, they are more or less the same” (participant 12)
	c. Cross municipal and regional network formed	“We have brought people together who have started talking about this” (participant 13)
	c. Cross municipal and regional network formed	“The municipality has a strength in that they have appointed process leaders for Close Care” (participant 6)
Q3b. Obstacles in the vision of Close Care	a. Symbolic alienation	“There is a lot of talk about this ‘Care’, and I believe the major challenge in the future will be to remove the word ‘Care’ to take the target picture a step further and broaden it” (participant 8)
		“The social services stop listening as soon as they hear ‘Close Care’; (they say) that is not for us” (participant 11)
		“Personally, I believe the whole expression of this project is wrong because it is the transition of the ordinary health care system that should transform in the future until new needs are discovered” (participant 12)
	b. Cognitive complexity and uncertainty how to use the vision	“The more you work, the more you see the complexities … we have ten different organisations in Sörmland with different resources and capabilities and so on … and we are all different people” (participant 12)
		“There are so many different projects but the whole is maybe not always there” (participant 9).
		“How will the people ‘on the floor’ understand that they should act differently when everything in the organisation is the same?” (participant 3).
		“The picture now given is that everything will now be done by primary care. I do not know how many times I have heard this … Instead of us all working together to solve everything” (participant 2).
		“We suffer from ‘perspective overload’. There are so many different things to take in and process all at once” (participant 11)
	c. Short-term economic reality and resource scarcity	“Thinking back, I would like to send a message to the politicians to not just ‘bake in’ the Close Care money into the general budget to fill general budget holes” (participant 7)
		“I would say that maybe the real obstacle is not the economic situation. Resources can be more than money … resources are also staff which might be our biggest challenge. It is not really money, there is money in Sweden, but not personnel” (participant 5)
		“Our health informants should be able to inform about the Close Care vision, but they cannot really see their own part in this: ‘it costs money, and it is not our problem’. Who should own this responsibility?” (participant 9)

Q3a. Opportunities in the vision of close care	a. Common stepping stone for implementation	“A movement has started, and there is an incentive among co-workers because they now see the need (for a change) …” (participant 13)
		“I believe it is important to have a vision, and it has been a good process … it is established, and nobody really questioned the layout or content …” (participant 7)
		“Deep down, I feel that we have agreed on Close Care in Sörmland … I think the visual picture is nice … citizens in the middle and co-workers and the organisation looking out over Sörmland. I am satisfied with the picture” (participant 12)
	b. Harmonisation with other visions for health care	“All regions shape their own picture/vision of what is important, but if we look at the other regions and wording at large, they are more or less the same” (participant 12)
	c. Cross municipal and regional network formed	“We have brought people together who have started talking about this” (participant 13)
	c. Cross municipal and regional network formed	“The municipality has a strength in that they have appointed process leaders for Close Care” (participant 6)
Q3b. Obstacles in the vision of Close Care	a. Symbolic alienation	“There is a lot of talk about this ‘Care’, and I believe the major challenge in the future will be to remove the word ‘Care’ to take the target picture a step further and broaden it” (participant 8)
		“The social services stop listening as soon as they hear ‘Close Care’; (they say) that is not for us” (participant 11)
		“Personally, I believe the whole expression of this project is wrong because it is the transition of the ordinary health care system that should transform in the future until new needs are discovered” (participant 12)
	b. Cognitive complexity and uncertainty how to use the vision	“The more you work, the more you see the complexities … we have ten different organisations in Sörmland with different resources and capabilities and so on … and we are all different people” (participant 12)
		“There are so many different projects but the whole is maybe not always there” (participant 9).
		“How will the people ‘on the floor’ understand that they should act differently when everything in the organisation is the same?” (participant 3).
		“The picture now given is that everything will now be done by primary care. I do not know how many times I have heard this … Instead of us all working together to solve everything” (participant 2).
		“We suffer from ‘perspective overload’. There are so many different things to take in and process all at once” (participant 11)
	c. Short-term economic reality and resource scarcity	“Thinking back, I would like to send a message to the politicians to not just ‘bake in’ the Close Care money into the general budget to fill general budget holes” (participant 7)
		“I would say that maybe the real obstacle is not the economic situation. Resources can be more than money … resources are also staff which might be our biggest challenge. It is not really money, there is money in Sweden, but not personnel” (participant 5)
		“Our health informants should be able to inform about the Close Care vision, but they cannot really see their own part in this: ‘it costs money, and it is not our problem’. Who should own this responsibility?” (participant 9)

Source(s): Authors’ own work