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Table 3 Categorization and item tracking matrix the process of categorisation and reduction of items

From: Outcomes of Moral Case Deliberation - the development of an evaluation instrument for clinical ethics support (the Euro-MCD)

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

     
  1. *A = merged, B = discarded, C = reformulated.