Table 2 Coding framework
Main codes | Subcodes |
|---|---|
Prior experiences with ACP | |
Thoughts about ACTION | |
Reasons to participate in ACTION | |
Becoming a facilitator | The RC training Support during the study Learning by doing Personal and professional growth Becoming aware of RC |
Cultural issues | During the training During the conversations |
Aspects RC | Script_positive Script_helpful questions Script_negative Script_difficult questions Script_lay-out My preferences form |
Preconditions RC | Timing Place of the conversation |
Being a facilitator | Needed skills Dual role facilitator Be involved in the regular care Not involved in the regular care Out of their comfort zone Workload Uncertainty Responsibility |
Impressions concerning patients | Reasons for patients to participate Investment Preparation Difficulties Patients responses The fit between RC and the patient |
Personal representative | Awareness of their role Influence on the conversation |
The value of ACTION RC ACP conversations | Opportunity to reflect and talk Empowerment of patients Quality of life Relationship patient-facilitator Communication patient-PR Patients undertake actions Have the time to conduct an ACP conversation Helpful |
Impact on current practice | Using the intervention Managing study and daily practice |
ACP in the future | Fit RC intervention to patients Setting Script Part of routine job Risks for the future Improvements Implementation of the intervention |
Being part of a research | The feeling of being watched by the researcher Wanted to do it right Patients should benefit from it Use as an excuse to the questions they ask |