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 |