Table 1 Example process of analysis
Meaning units | Condensed code | Code | Sub-theme | Theme |
|---|---|---|---|---|
Many older persons are ashamed of feeling blue, it is taboo and they don’t want to talk about it. This comes from how it was before; it was different compared to today and some still feel ashamed not feeling ok or going to the counsellor, it is very embarrassing. (RN3) | Older persons ashamed, taboo topic, and won’t tell. Feeling ashamed and not being ok with counselling. | Difficulties confessing the experience low mood. | Not seeking help | Challenging to identify |
I guide them … I send them on to home care, the physiotherapist, the dietician and so on I try to see the whole person. (RN1) | Guiding them, offering the help they might need and aiming to see the whole person | Guidance and support. | Offering support | Described interventions |
But I can put forward the question ‘do you feel blue’ and I can ask the question, ‘why are you prescribed sleeping tablets I am not afraid of that as there is nothing strange about that. (RN10) | Nothing strange about asking a direct question about low mood and medication | Natural as an RN to ask difficult questions | Having the courage to ask | Prerequisites for identification |
I am grateful that I can book longer appointments for my patients as not only can it pick up signals about depressed symptoms but about other stuff too. (RN10) | Grateful for being able to book long appointments which means being able to pick up depressed mood | Time of essence in picking up low mood | Time | Contextual influences |