“The team needs to feel cared for”: staff perceptions of compassionate care, aids and barriers in adolescent mental health wards

Table 3 Barriers to compassionate care (Level: I, individual; T, team; O, organisation)

Theme	Sub-theme	Level
Poor emotional connection	Constant change	O
	Prescriptive rules	T, O
	Lack of clear boundaries	T,O
	Lack of connections with team	T
	Impact of patient presentation	I
Low sense of value	Lack of reward	I,T,O
Low sense of value	Poor work conditions	O
Lack of attending to the whole staff member	Challenges in personal life	I
Lack of attending to the whole staff member	Impact on home life	O
Lack of understanding	Lack of improvement in patient	I
Poor communication	Relationship with management Lack of authenticity	O
Lack of practical resources	Unhelpful personal coping styles	I
	Feeling worn out	I
	Lack of practical support	O
	Lack of external resources	O
	Short staffing	O
	Physical ward environment	O
	Lack of time	O
	Bureaucracy	O

ISSN: 1472-6955