Item no | English original | Comments from interviewees | Swedish cultural adaption |
---|---|---|---|
4 | Be unable to provide optimal care due to pressures from administrators or insurers to reduce costs | ‘Insurer companies? When am I pressured by that? How can an administrator have an influence on me? It works in the U.S.A or England but not here. It is not on the map that this could happen’ RN (2) | Hindrad att ge optimal vård på grund av påtryckning från ledning för att minska kostnader |
6 | Be pressured to avoid taking action when I learn that a physician, nurse, or other team colleague has made a medical error and does not report it | ‘Why using physician and nurse when it is interprofessional [work]. It becomes an indication that these professions are more important. Team member is better’ OT (10)’ ‘Team is the form of work. One assumes that everyone is working in a team-oriented way (RN 3)’ | Känna press att inte agera när jag får veta att en kollega eller annan teammedlem har gjort ett medicinskt misstag som inte rapporterats |
8 | Participate in care that causes unnecessary suffering or does not adequately relieve pain or symptoms | ’Pain is a symptom. Add [to pain] or other symptoms’ RN (7) | Delta i vård som orsakar onödigt lidande eller som inte tillräckligt lindrar smärta eller andra symtom |
12 | Participate in care that I do not agree with, but do so because of fears of litigation | ‘Litigation is strange. Fear is better OT (10) Fear of being reported if I do not’ PT (9) | Delta i vård som jag inte håller med om, men gör det på grund av rädsla för att bli anmäld |