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Table 4 Components of physicians’ perceptionsa identified in the QUAGOL-guided analysis

From: Physician decision-making process about withholding/withdrawing life-sustaining treatments in paediatric patients: a systematic review of qualitative evidence

Components

Included publications

Who should be involved in the decision-making process, what are their roles, and how do they experience their involvement

 Physicians

[34, 36,37,38,39,40,41,42,43,44, 46,47,48, 50,51,52,53,54,55, 57,58,59,60,61,62,63]

 Parents

[34,35,36,37,38,39,40, 42,43,44, 47, 50,51,52,53,54,55,56, 60,61,62,63]

 Child

[34, 36,37,38, 46, 47, 50, 52,53,54, 57, 61, 62]

Structure of the decision-making process about withholding/withdrawing LST

 Early preparation for the decision-making via ACP

[46, 47, 57, 61]

  Facilitators

[57, 61]

  Barriers

[46, 47, 57, 61]

 Decision-making process with information delivery and receipt

[34, 36, 38, 39, 43, 44, 48, 49, 51, 53, 54, 56, 59,60,61, 63]

  Understanding the medical situation of the child

[34, 36, 39, 43, 44, 48, 51, 54, 59, 60, 63]

  Manner of exchanging and discussing relevant information

[34, 38, 49, 53, 54, 56, 60, 61]

 Making final decisions

[36,37,38, 44, 52, 54, 56, 60, 63]

  Withholding/withdrawing LST

[36, 37, 44, 54, 56, 60, 63]

  Continuing LST

[36,37,38, 44, 52, 56, 60]

Ethical values that are balanced in the decision-making process

 Best interests of the child

[34, 36, 37, 42, 44, 46, 47, 50, 51, 53,54,55,56, 58, 60]

 Best interests of parents

[34,35,36,37,38,39,40, 42, 47, 50,51,52,53,54,55,56, 59,60,61,62,63]

Factors influencing decision-making

 Facilitators

[34, 36,37,38,39,40,41,42,43,44, 47, 50,51,52,53,54,55,56,57, 59,60,61,62,63]

 Barriers

[34, 35, 37,38,39, 42, 43, 45,46,47, 49,50,51,52,53,54,55, 58,59,60,61,62,63]

  1. a Physicians’ perceptions on the decision-making process about withholding/withdrawing LST in paediatric patients
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BMC Palliative Care

ISSN: 1472-684X

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