Theme header	Patient (P) or HCP	Sub‐theme label	Agreement rating
Burden	P	Transfusions are inconvenient	Agreement with ‘Anticipated attendance burden for patients’
	P	Attendance not a great burden	Disagreement
	HCP	Anticipated attendance burden for patients
Burden	P	Transfusion part of routine life	Agreement with ‘Transfusion has become a part of patient's routine life’
	P	Life restrictions, travel	Disagreement
	HCP	Transfusion has become a part of patient's routine life
Distinguishing blood products	P	Knowledge gaps for platelets	Silent
Distinguishing blood products	P	Positive perception of platelets	Silent
Distinguishing blood products	P	Distinction of irradiated blood	Silent
Social connection+Decision‐ making	P	Patient involvement generally positive	Partial agreement with ‘HCP advocates and involves patients in decisions’
	P	Transfusion offered with patient involvement in choice	Partial agreement
	HCP	HCP advocates and involves patients in decisions
Social connection	P	Interaction with other patients	Silent
Social Connection	P	Lack of interaction or activity during transfusions	Silent
Social Connection	P	Curiosity and appreciation for blood donors	Silent
Social Connection	P	Support from family or primary care HCPs	Silent
Supportive relationships	HCP	HCPs approachable and bond with patients	Silent
Supportive relationships	HCP	Efforts to increase patient comfort in unit	Silent
Organisational Constraints	HCP	Solutions needed to improve processes and ease capacity strain	Silent
Organisational Constraints	HCP	Constraints to greater discussion of patients’ views	Silent
Organisational Constraints	HCP	Solutions needed to enhance patient‐HCP and team communication	Silent
Organisational Constraints	HCP	High and costly blood use for hospital	Silent
Organisational Constraints	HCP	Complicated management of transfusion slots	Silent
Stability and variability of transfusion perceptions	HCP	Views on transfusion broadened through haematology exposure	Silent
Stability and variability of perceptions	HCP	Views consistent and similar to colleagues	Silent
Stability and variability of perceptions	HCP	Patients’ transfusion perceptions variable	Silent
Awareness of risk/Safety	P	Discomfort and illness during or post‐transfusion	Agreement with ‘Short and long term medical and psychological impact’
	P	No experienced negative consequences	Disagreement
	HCP	Short and long term medical and psychological impact
Awareness of risk/Safety	P	Health risks from high iron levels	Agreement
	HCP	Iron overload considered a key risk
Awareness of risk/Safety	P	Potential infection or reaction risk	Agreement
	HCP	Infections, antibodies and reactions risks
Awareness of risk/Safety +Involvement in decision‐making	P	Caution needed, blood should be used appropriately	Agreement
	HCP	Transfusions prescribed appropriately using guidelines
Awareness of risk/Safety	HCP	Risks mitigated by safe transfusion practices	Silent
Awareness of risk/Safety	HCP	Risks and benefits established with patients	Silent
Awareness of risk/Safety	HCP	Risk of not providing a transfusion	Silent
Necessity	P	Transfusions used as a current and long‐term supportive treatment	Partial agreement
	HCP	Transfusions support chemotherapy or used to treat anaemia
Necessity	P	Transfusion prolonging life and aiding survival	Agreement
	HCP	Transfusions are vital, aiding survival
	HCP	Transfusions given to protect health	Agreement with ‘Transfusion prolonging life and aiding survival’
Necessity	P	Need for transfusion apparent through symptoms	Partial agreement
	HCP	Patient reliance and expressed need for transfusion
Necessity	P	Speculation and doubt over pending transfusion prescription	Silent
Necessity +Involvement in decision‐making	P	Need established by HCPs and clinical indicators	Agreement
	HCP	Team decision on transfusions prescription
	HCP	Necessity of transfusion established in balance with clinical and patient factors	Agreement with ‘Need established by HCPs and clinical indicators’
Health benefits	P	Keep going with daily life	Agreement
	HCP	Supportive care to carry on with normal daily living
Health benefits	P	Boosting blood levels	Partial agreement with ‘Symptom improvement, making patients feel better’
	P	Relief of symptoms such as tiredness	Agreement
	HCP	Symptom improvement, making patients feel better
Health benefits	P	Can take time to feel benefit of transfusion	Agreement
	HCP	Benefits last a limited time only
Health benefits	P	Anticipated benefits	Silent
Health benefits	P	Patient convinced of benefit by significant others	Silent
Health benefits	HCP	Shared HCP agreement of transfusion benefits	Silent
Health benefits	HCP	Some risk‐benefit for patients questionable	Silent
Negative emotions	P	No concerns or worries with transfusions	Agreement with ‘Patients perceiving transfusion positively, as a lifeline’
	P	Gratitude that transfusions possible	Agreement
	HCP	Patients perceiving transfusion positively, as a lifeline
Negative emotions	P	Receiving transfusions unpleasant	Agreement with ‘Patient anxiety and upset with receiving regular transfusions’
	P	Relaxed during transfusion appointments	Disagreement with ‘Patient anxiety and upset with receiving regular transfusions’
	P	Concern of transfusion dependency	Agreement
	HCP	Patient anxiety and upset with receiving regular transfusions
Negative emotions	P	Positive emotions of not needing transfusion	Silent
Negative emotions	P	Attempts to manage worries and fear	Silent
Negative emotions	P	Perception that doctors dislike prescribing transfusions	Partial agreement
	HCP	Concern about downsides of transfusions for patients
Negative emotions	HCP	Patients’ unexpressed potential negative emotions	Silent
Negative emotions	HCP	Practice concerns and frustrations	Silent
Negative emotions	HCP	HCPs’ strategies to reduce patient anxiety	Silent
Negative emotions	HCP	Upset in witnessing patients’ worsening health or death	Silent
Alternatives	P	Alternatives considered or already in use	Agreement
	HCP	Alternatives considered or already in use
Alternatives +Involvement in decision‐making	P	No alternatives, transfusion the only option	Agreement with ‘No alternatives, transfusion the only option’
	P	Confronted with limited or no choice	Agreement
	HCP	No alternatives, transfusion the only option
Alternatives	P	Patient preference for alternatives	Agreement
	HCP	Support for greater consideration and use of alternatives
Alternatives	P	Patient's body can correct depleted cells	Silent
Alternatives	HCP	Committed to giving regular transfusions once started	Silent
Involvement in decision‐making +Necessity + Health benefits	P	Willing acceptance of transfusions	Agreement
	HCP	Patient autonomy in their own transfusion decisions
	HCP	Patient reliance and expressed need for transfusion	Agreement with ‘Willing acceptance of transfusions’
	HCP	Patient questioned on health benefits to provide/continue transfusions*	Partial agreement with ‘Willing acceptance of transfusions’
Involvement in decision‐making	P	Deferral of decision‐making to HCPs	Agreement
	HCP	Deferral of decision‐making to health professionals
Involvement in decision‐making	P	Decision‐making discussion positive	Silent
Involvement in decision‐making	P	Routine ‘automatic’ treatment	Silent
Involvement in decision‐making	P	More frequent transfusions would be resisted	Silent
Involvement in decision‐making	HCP	Individual transfusion regime for each patient	Silent
Involvement in decision‐making	HCP	Barriers to discussing transfusion or obtaining consent	Silent
Involvement in decision‐making	HCP	Tendency towards providing transfusion	Silent