Table 3

Commitment, closeness and preparedness facilitated implementation, while practical challenges were faced

CategoriesSubcategories
Preparedness in a small hospital characterised by good relations and organisational knowledge*
  • Preparedness through training in crisis support in the Crisis and Disaster Psychology Unit organisation

  • Good relations and organisational knowledge in a small hospital

  • Experience of working with improvements

A committed and involved management that enabled internal resources to work in a flexible, rapid and supportive way*
  • An unpretentious and supportive management who managed without hindering

  • Rapid decision-making and flexibility by using internal resources in combination with external

  • Participation in the support group was supportive

Difficulties related to scheduling and reaching out with support†
  • Scheduling difficulties of meeting demand at the same time all over the hospital and extending activities beyond working hours

  • Reaching out with information about support and reaching physicians and night shift workers

The challenge of harmonising and including different perspectives†
  • Differences in the approach to the provision of support

  • Perceived prestige linked to level of education and type of support offered

  • *Facilitators.

  • †Hinders.