Exploration of how to make the collaborative planning process work - a grounded theory study

Figures & data

Table 1. Overview over data collection and informants in chronological order

No	Technique used	Informants/participants	Place	Length	Data analysis	Researcher
1	Interview after CIP meeting	Male patient 70 years	Home	36 min		IJ, ÅE
2	Interview before CIP meeting	Husband 84 years	Home	30 min		IJ, ÅE
3	Observation CIP meeting	Home healthcare organizer (municipality), Physiotherapist (municipality), Occupational therapist (municipality), Nurse (municipality), Nurse (health clinic) and husband	Home of the patient	115 min		IJ, ÅE
4	Interview after CIP	Husband 84 years	Home	40 min	Build on data analysed from no 1	IJ, ÅE
5	Interview	Nurse	Health Clinic	60 min		IJ, BL
6	Observation CIP meeting	GP (health clinic), Nurse (health clinic), Home healthcare organizer (municipality), Occupational therapist (municipality), Physiotherapist (municipality), Nurse (municipality), patient and husband	Health Clinic Nurse (municipality) was together with the patient and husband at home. All other participants used Skype from their offices to participate.	69 min	Build on data analysed from no 1–4	IJ, BL
7	Focus group	Two Home healthcare organizer managers from two municipalities, one Occupational therapist manager from municipality and two Nurse managers from the Region	Office at one municipality	109 min	Build on data analysed from no 1–4 and 6	IJ, SN
8	Interview before CIP meeting	Male patient 79 years Wife 77 years	Home (The CIP meeting got cancelled by the health clinic)	46 min	Build on data analysed from no 1–7	IJ
9	Interview after CIP meeting	Wife 67 years	Home	109 min	Build on data analysed from no 1–8	IJ
10	Observation CIP meeting	GP (health clinic), Nurse (municipality), Physiotherapist (municipality), Unit manager (municipality), patient and wife	Home of the patient	35 min	Build on data analysed from no 1–9	IJ
11	Interview after CIP meeting	Male patient 79 years Wife 79 years	Home	30 min	Build on data analysed from no 1–10	IJ
12	Observation CIP meeting	GP (health clinic), Nurse (municipality), Unit manager (municipality), patient and trustee	Home of the patient	55 min	Build on data analysed from no 1–11	IJ
13	Interview after CIP meeting	Male patient 100 years	Home	30 min	Build on data analysed from no 1–12	IJ
14	Observation CIP meeting	GP (health clinic), Nurse (municipality), Unit manager (municipality) and patient	Home of the patient	30 min	Build on data analysed from no 1–13	IJ
15	Interview after CIP meeting	Male patient 80 years		30 min	Build on data analysed from no 1–14	IJ
16	Interview	Occupational therapist municipality	Office	75 min	Build on data analysed from no 1–15	IJ
17	Interview	Nurse municipality	Office	99 min	Build on data analysed from no 1–16	IJ
18	Interview	Home healthcare organizer municipality	Office	30 min	Build on data analysed from no 1–17	IJ
19	Interview	Unit manager municipality	Office	55 min	Build on data analysed from no 1–18	IJ
20	Interview	Physiotherapist municipality	Office	85 min	Build on data analysed from no 1–19	IJ
21	Interview	Unit manager municipality	Office	74 min	Build on data analysed from no 1–20	IJ
22	Interview	GP health clinic	Health clinic	38 min	Build on data analysed from no 1–21	IJ
23	Telephone interview	Occupational therapist municipality		30 min	Build on data analysed from no 1–22	IJ
24	Interview	Nurse municipality Nurse health clinic	Home of one of the nurses	194 min	Build on data analysed from no 1–23	IJ
25	Interview	Male Nurse health clinic	Health clinic	65 min	Build on data analysed from no 1–24	IJ
26	Telephone interview	Nurse hospital		47 min	Build on data analysed from no 1–25	IJ
27	Telephone interview	Nurse health clinic		30 min	Build on data analysed from no 1–25	IJ

Figure 1. Vignette an example of the collaborative care planning process

Table 2. An illustration of the coding process

Examples of open codes	Sub categories	Categories
CIP process more than the plan, common foundation, ethic practice, planning together, “the chain is not stronger than its weakest link”	A joint philosophy Everyday practice Planning through partnership	Holding the chain together
Want to get help, want to feel safe, want to be seen as an unique person, want flexibility, accepting co-dependency, giving voice to a loved one, providing daily care, handling all the practicalities, lacking knowledge, making things complicated, not feeling part of the process, having no expectations, doing as they always done, content with care and services	Having hopes and needs Being the lifeline Being sidelined	The missing link
Practicing a person-centred approach, have the individual in focus, need active management, constant dialogue within the team, need to follow the process, coordinator sets the tone, issues with IT, use a language they understand, relatives take a huge responsibility, focus on social care, acknowledge power differences, take responsibility, identifying the right participants, find out the goals, feel unsure of follow up	Having a common approach Working as one Adjusting to the person Balancing power differences Creating a plan	Connecting the links

Figure 2. The conceptual model