Table 6 Insights into the ethical problems and solutions perceived following the ethics rounds
Boyd’s approaches (%*)Main categoriesSubcategoriesMeaning-units (n)Representative meaning-units from the most frequent subcategory
Insights into the ethical problemsn  =  130
    Principles (10%)Patient participationImportance of adequate information13It is important to give the patient good information that it is possible to withhold treatment and still get good care.
    Persons (18%)Personal responsibilityAwareness of one’s feelings12I realise that I could react from my heart and shout it out to the media.
Boundaries to responsibility12
    Perspectives (72%)Extended perspective on the patientOthers perspectives and knowledge30I’ve got more facts about the particular situation. That it was not only about the patient having dialysis or not.
More complex19
Increased understanding for the patient10
Increased awareness of relations to other professionsMutual understanding14Interesting to learn how those with power (the doctors) also feel vulnerable and find it difficult to reach the patient.
Gap between the professionals13
Shared view about the problem8
Insights into how to solve problemsn  =  125
    Principles (18%)Promote patient participationImprove routines for information and documentation12To document the patient’s wishes about the future regarding life-sustaining treatment and if the patient has had a different opinion from the doctor.
Help the patient to decide11
    Persons (18%)Be firmMake demands on the patient17From this, I realise a person has the right to make demands on somebody who places demands on you.
Question the doctors5
    Perspectives (64%)Enhance team collaborationRequest for interprofessional dialogue36More collaboration between the different staff groups. Everyone helps to put the pieces of the puzzle together. You don’t have to be alone with difficult decisions. Find time for dialogue.
Reach a consensus for care20
Enhance patient/family contactGive psychological support15To combine the patient’s concern for his children with the importance of the dialysis regimen.
Try to understand the patient better9