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Table 1 Examples from the thematisation process

From: Needs-led research: a way of employing user involvement when devising research questions on the trust model in community home-based health care services in Norway

Themes Examples of input Examples of research questions
Interdisciplinary collaboration - What are success criteria for successful interdisciplinary cooperation?
- How is systematic work in interdisciplinary collaboration facilitated organisationally?
- The importance of interdisciplinarity in the teams?
How is interdisciplinary collaboration performed in small teams?
Competence/ Knowledge - Has it become easier or more difficult to ensure that personnel with the right competence are assigned to patients where this competence is necessary?
- Core competence: To clarify what competence the service needs for different positions and roles in order to have competent and empowered employees: e.g. observational competence of employees
- Competence to assess the user’s functional ability and cognitive status?
What interdisciplinary competencies do the employees in the teams need, and how do they make best possible use of these competencies?
Assistive technology and digitalisation in the service - More on assistive technology because more things are becoming electronic and there are still many who have not understood that it will become more digital with time.
- Training and information about it should be more prioritised.
- Research more on how different departments work on the services
How are assistive technology and digitalisation implemented and used within interdisciplinary teams?
Organisations and leadership - How does the trust model contribute to an organisation that provides more tailored and flexible services?
- What significance do organisation and management have for the performance of small interdisciplinary teams?
Early intervention/ preventive services - Is there still more focus on nursing than on rehabilitation?
- Do they manage to integrate reablement as well?
- The rehabilitation services in specialist health care are reduced, and it is expected that the municipalities will provide rehabilitation to a greater extent. The districts are falling behind in stepping up rehabilitation services to meet these requirements (of the trust model). How will the districts manage to step up and organise the service to meet users in need of rehabilitation?
How does the trust model ensure early intervention and preventive work?
Exercise of authority and profession - Roles and responsibilities in the trust model – how has it affected employees and the organisation?
- The term ‘empowered employees’ and independent professional practice is often used in connection with the trust model. Do employees feel that they have been given more authority and a greater degree of independence in their professional practice? Do the employees experience wider scope of action?
How are roles and responsibilities exercised by employees in the trust model?
User and next of kin involvement - The goal of having small teams and a few people to relate to is not implemented in practice. This causes frustration among both users and next of kin.
- How the services involve relatives in planning, design, implementation and evaluation of the services and how next of kin experience it?
- Whether the trust model gives users an experience of better interdisciplinary collaboration and fewer people to relate to, whether they are assigned a ‘primary contact’ and whether they have good contact with her/him.
How do users and next of kin experience involvement in the process of allocating services when exercising the trust model?