TABLE 2.
Data extract process
| Theme | Subtheme | Preliminary categorization | Open coding |
|---|---|---|---|
| From avoidance to being forced to accept | Rejection and fear | At a loss for the future | What problems will I face after dialysis? The end of the meaning of life Loss of autonomy |
| I do not want dialysis, refusing to understand | I do not want dialysis yet Go to the hospital three times a week Refusing to understand | ||
| Forced to accept | Awareness of disease | Symptoms appear Decreased kidney function | |
| I had to accept it | Unavoidable fact Even if you feel scared, you still have to face it | ||
| Decision‐making process of action | Stimulating motivation | Needs after acceptance of dialysis | Began interested in dialysis Pose questions |
| Motivation | The doctor told me the condition Feel uncomfortable | ||
| Misperception and clarification of dialysis | External clues provided by non‐professionals | Information from the Internet or books Information provided via news media Information from friends or neighbours | |
| Inherent views | Hearsay Misperceptions Negative experiences of others | ||
| The contradiction about choices | The impacts of one's future life | Time and place can be flexible Autonomy Maintain the current lifestyle Affect my work | |
| To weigh the pros and cons | Take away my freedom Impact on the family Kidney donation will affect a family member's health | ||
| Decision‐making awareness | I can have another choice | I had the right to choose Seeking answers to questions | |
| Behavioural activation | Actively asking questions Proactively discuss with the doctor | ||
| Generating confidence in the decision | Knowledge increased confidence | I can perform peritoneal dialysis by myself Past successful experiences | |
| What suits me best | I know what suits me The better option for me | ||
| Facilitating Factors | Families accompanying | Psychological comfort | Family is my supportive power Share my worries |
| Support my decision | My choice is supported by my family family discuss together | ||
| Nurse's listening | Listening to me | Can relax to inquire Analyse the pros and cons with me | |
| Trusted confidant | Pour out my worries Trust each other |