Table 3.
Categorization and item tracking matrix the process of categorisation and reduction of items
|
Stages |
Domains |
Subdomains |
Items at each step n |
Coding agreement |
Revision of items n |
||
|---|---|---|---|---|---|---|---|
| A* | B | C | |||||
| Collection of items |
|
|
96 |
- |
- |
- |
- |
| MS and BM categorisation |
Reduced moral distress |
Emotional support |
48 |
50% |
24 |
36 |
20 |
| |
|
Better ability to prioritise |
|
|
|
|
|
| |
|
Received support to handle ethical problems |
|
|
|
|
|
| |
Enhanced ethical climate |
Organisation consistent with ethical standards |
|
|
|
|
|
| |
|
Enhanced collaboration |
|
|
|
|
|
| |
|
Enhanced communication |
|
|
|
|
|
| |
Concrete resolution in patient cases |
Answers or consensus reached in the patient cases |
|
|
|
|
|
| |
|
Concrete steps taken in the patient cases |
|
|
|
|
|
| |
|
Improved process for decision making in the patient cases |
|
|
|
|
|
| |
Enhanced moral competence |
Improved moral skills |
|
|
|
|
|
| |
|
Improved moral attitude |
|
|
|
|
|
| |
|
Improved ethics knowledge |
|
|
|
|
|
| Delphi round 1: |
Enhanced emotional support |
(Subdomains discarded and abstraction level for domains lowered) |
33 |
25% |
6 |
10 |
29 |
| |
Improved cooperation & communication |
|
|
|
|
|
|
| |
Better coherence with organizational policy |
|
|
|
|
|
|
| |
Clear results |
|
|
|
|
|
|
| |
Improved moral skills |
|
|
|
|
|
|
| |
Improved moral attitude |
|
|
|
|
|
|
| Delphi round 2 |
Enhanced emotional support |
(Meaning of one domain was changed and three domains were reformulated) | 26 |
75% |
4 |
6 |
18 |
| |
Enhanced collaboration |
|
|
|
|
|
|
| |
Improvement on organizational level |
|
|
|
|
|
|
| |
Concrete results |
|
|
|
|
|
|
| |
Improved moral reflexivity |
|
|
|
|
|
|
| Improved moral attitude | |||||||
*A = merged, B = discarded, C = reformulated.