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. 2019 Feb 13;6:2054358119828389. doi: 10.1177/2054358119828389

Table 1.

O’Neill’s Clinical Decision-Making Model Adapted to LDKT and Health Professional–Identified Barriers.

Component of the model Aspects related to current study
Pre-encounter data - Prior knowledge/familiarity of LDKT
- Prior experiences with LDKT (or kidney transplantation)
- Biases (LDKT and/or patients)
- Assumptions regarding LDKT and patients
Anticipating and controlling risk
- Guidelines, protocols, procedures
Situational and client modifications (environment) Client
- Discussions between patients, potential donors, and HP (with whom, under what circumstances)
- Patient characteristics; condition
Situational
- Procedural barriers or challenges encountered in relation to LDKT
- Organization of renal services; referral process
- Resources
- Sources of support
Hypothesis generation (patient-specific information vs pattern recognition or evidence about LDKT) - Assessment for eligibility of the patient
- How evidence is evaluated and weight given to various types of evidence
- Decisions made regarding eligibility on the basis of the patient’s condition or other patient characteristics

Note. LDKT = living donor kidney transplantation; HP = health professionals.