Table 2

Longitudinal content analysis of the perceptions of the nurses on relevance of the SMP-DSI

	Categories	Codes	Course of perceptions Sessions of data collection
Themes	Categories	Codes	1	2	3	4	5	6	7	8	9
Barriers	Conflictive to usual care and to professional autonomy	Belief that a nurse’s task is to prevent older adults from having problems	X	X
		Belief in own competence to recognise wishes of older adults	X	X
		Belief that autonomy of older adults is already warranted by the care plan	X	X
		Aim to avoid bothering the older adult	X	X
		Belief that a key element of nursing is hands-on caring, not talking or interacting	X
	Usual care conflictive to client autonomy	Awareness of automatism of taking over		X	X	X	X	X
		Tendency to solve problems without consulting the older adult			X	X	X	X
		Belief that usual care does not match wishes of older adults			X	X	X	X
		Discovery of having an open mind towards wishes and needs of older adults is not obvious			X	X	X	X
		Awareness of automatism of imposing solutions on older adults					X	X
		Belief that wishes and aims of older adults are not key in usual care							X	X	X
Facilitators	Interaction with older adult	Suits older adults		X	X	X	X	X	X	X	X
		Satisfaction of older adult					X	X	X	X	X
		Motivates older adults					X	X
		Helps to reveal the individual behind the older adult							X	X	X
		Increases autonomy of older adult							X	X	X
	Innovative learning	Demands a different way of thinking	X	X	X	X	X	X
		Encourages getting rid of ‘taking over’ care		X	X	X	X	X
		Distinguishes between autonomy and independency			X	X	X	X
		Encourages getting rid of thinking in terms of problems and solutions				X	X	X
		Encourages behavioural change						X	X	X	X
		Encourages shared decision-making						X	X	X	X
		Useful in conflictive situations							X	X	X
	Improvement of care	Increases the understanding of the impairments of the older adult		X	X	X
		Meets needs in daily care and practice			X	X	X	X	X	X	X
		Beneficial for older adult					X	X	X	X	X
		Programme is broadly applicable					X	X	X	X	X
		Contributes to personalised care					X	X	X	X	X
		Increases respect for autonomy of older adult						X	X	X	X
		Improves relation with older adult						X	X	X	X
		Meaningful approach							X	X	X
		Should be included in education programme for nurses							X	X	X
		User programme will disseminate programme							X	X	X

SMP-DSI, Self-Management Program for Dual Sensory Impaired older adults.