Research Article

Action-Oriented Study Circles Facilitate Efforts in Nursing Homes to “Go from Feeding to Serving”: Conceptual Perspectives on Knowledge Translation and Workplace Learning

Table 6

Inductive results structured into core category, categories, subcategories, and quotations (different quotations are separated by a slash). The PARiHS (Promoting Action on Research Implementation in Health Sciences) framework deduced to the inductive results.

Core categoryCategoriesSubcategoriesQuotationsPARiHS framework

Together and from the same place we are strongerAfter training, when you come back, usually alone, it is hard to get people to listen. It is difficult to adapt the new knowledge to your own workplace. / …initially, we had one participant from each unit, then with participants from the same unit, there was an enormous difference. / If you carry out one study circle at a unit, then you might achieve some things, but it is when the second study circle is formed that you can really achieve changes. Context
Socioculturally mediated knowledge spreadGetting together broadens one’s perspective and improves the work atmosphere
People have a greater understanding for one another, are more open, and feel free to ask questions about different things. One broadens one’s views, one can actually do things differently, if you don’t try–nothing happens. Context
Nutritional knowledge translation expressed as “going from feeding to serving”(a)Through discussions, the gap between knowledge and practice can be bridged You get a new perspective, think differently than before./ I would absolutely not want to have missed this time, never in my life, I have learned so much that I can make use of. / We will try to figure out everything that we can do, instead of focusing on things we can’t do. / A culture can develop that is not justified. Evidence
Action-oriented goalsThe study circles have been goal-directed, it is easier to explain to the others together what to do. / These documents stating goals…they have led to so many changes at the units. / There is cooperation between all of us: team manager, staff, kitchen, and the actual health care. Everyone works towards the same goal: we have a human being who we want to feel well, and it is our job to do what we can to make it possible. Evidence
Facilitation of knowledge spread and sustainabilityFacilitation by anchoring and feedback
There has been a lot of persuasion, and a lot of marketing…geared towards team managers and the management group. Then there are the politicians as well. Facilitation
Facilitation of sustainability
We have put in a lot of work on this and we have to make sure that it continues even though the study circles end. / It is not supposed to end just because the three years have passed, it is a process that is supposed to continue. / Yes, it is easy to fall back into old habits…there should perhaps be some sort of follow-up. / Finally, we have made a dent at the shortcomings we have had, and now we will continue forward. Facilitation

(a)“Successful implementation” is deduced using the PARiHS framework. The idea for labelling this core category stemmed from an actual statement in the focus group interview, “we are thinking more in terms of service, it is not a matter of feeding anymore.”