Table 2 Themes and categories indicating decision criteria, dilemmas and outcome
Themes: | Formal and informal decision criteria | Additional factors influencing decisions | Emerging dilemmas | Decision outcome/consequence |
|---|---|---|---|---|
Categories: | • Research evidence • Severity of the condition • Cost-effectiveness • Ethical considerations • Needs of vulnerable groups • Clinical knowledge and experience • Potential guideline and consequences | • Gender • Status • Verbal and Social skills | • High quality of evidence versus low adoptability of recommendations • Insufficient evidence versus high urgency to act • Incoherence in vertical and horizontal judgments | • For the Decision-process: -Formulate new principles for decision making -Re-appraise previous settled decisions or revise defined concepts -Additional search for evidence • For the Guidelines: -Intervention recommended in guidelines ranked 1–10 -Interventions recommended in a controlled clinical research setting -The intervention and/or condition is removed or integrated with another condition-intervention pair |