Table 2 Example of structured coding scheme for two of three themes

Reaction

Satisfaction

Intensive engagement

Two days of intensive training led to tiredness

Found the training interesting and engaging,

Intensive training required more attention,

Felt tired after two intensive days of training, Tired after the second day

“I felt, at the end of the second day, that I wasn’t able to acquire more information (…) It was an extraordinary amount of information to go through, I wasn’t capable to process any more information at the end.”

Engagement

Cognitive reframing

Making use of training is caring for patients, shift of mindset from using force as a necessary evil to caring for patients

De-escalation or careful use of force is caring, debriefing patient and staff is a form of caring, gentle interaction and cooperation ensures situations don’t escalate, focus on not using excessive force.

“(…) the way you make sure situations doesn’t escalate (…) making sure that no one gets harmed (…) I would say is caring.” “(…) that actions taken is proportional with the severity of the situation.”

Learning

Knowledge

Non-verbal expressions

Experienced change in self-consciousness, has shifted focus outwards to how one is perceived

Have become more aware on body-language, Rethinks how to express body language in different contexts, thinks about how one appear towards patients

“I am more conscious on my own body-language when I interact with patients (…) I haven’t thought much of this previously (.) that one sits with arms crossed and one seems less forthcoming”

Skills

Interactions

Experienced confidence to engage in dialogue, feeling more confident in delegating tasks

Can communicate better with patients, afraid of ruining relation with patient, dare to take a chance to re-establish relation with patient in despair,

“(…) not to be afraid to ask unpleasant questions, one can learn a lot if one dare to ask the patient questions” “I have learned a lot (…) how to handle, especially when using force, who should talk to the patient while this is happening”

Attitudes

Contextualization

Workplace experiences is viewed in light of training, believes teachings from training is useful in day to day work

Re-thinks previous behaviour in light of training, believes models from training is useful for contextualizing current situations,

“After previous situations I have doubted my actions and thought if I could do things differently, after training I have given the triangle model attention and I think this helps me categorize my actions”

Confidence

Placement of responsibility

Contributes to workplace with knowledge, is able to take responsibility for everyone’s safety

Theoretical knowledge makes it easier to overcome barriers to teamwork or treatment, feels able or confident to contribute to the workplace, Awareness of one’s and others responsibility if situations occur

“(…) It’s easier to participate in difficult discussions with co-workers or patients when having a theoretical foundation” “One knows one’s responsibility in situations”