Table 2 An example of the process of condensation and abstraction, from meaning unit to category

“Clinically, we would just check the wound.” 5^a

Local infection, assessed by clinical wound investigation

Local symptoms of infection

Wound assessment and treatment of infection

Adherence to protocols and commonly agreed praxis

“So, each time we do change of dressing we will notice these things because we will write down if it’s clean, if it’s dirty and it will affect the plan for how long we are going to doing the… how long we are doing the change of dressing.” 5^a

Wound assessed for infection in every dressing change, it’s written down and affects the plan for the dressing regimen

Dressing change depends on the wound

Dressing routines

Adherence to protocols and commonly agreed praxis

“My issue was that according to some, you know, here we deal with frequently changed expats, okay. And everyone has almost a background, a medical background, and by that background by one way or another they influence the practice here.” 10^a

Issue with frequently changing expats and their different backgrounds influencing the practice in the project.

Expats use different regimens

Mixed messages due to a high turnover of expats

Deviations from protocols due to uncertainty or due to deliberate decisions

“Well, I try my hard, my best to take, to, to, not to prescribe actually.

AÄ: But sometimes it is difficult?

P: Yeah, sometimes difficult, sometimes yeah” 11^a

Difficult not to prescribe antibiotics when patient or relatives of patient insist

Insistent patient hard to resist

Deliberate antibiotic prescription deviations

Deviations from protocols due to uncertainty or due to deliberate decisions