Factors which influence decision-making
Factors | Quotes | |
1 | Consent requested by patient | So I guess, for me, I wouldn’t necessarily be against it being recorded if I was aware of it and consenting, and it was an agreed thing. (P01) |
2 | Purpose and use of the recording | If there’s a clear reason and a clear purpose, I guess, then I’m all for it. (P13) |
3 | Confidentiality of patient, clinician, or other patients | We made it very clear, especially in a busy gym environment, that they can only record if there weren’t other patients present in the background. (P20) |
4 | Type and predictability of encounter | Yeah I think [giving] instructions, it’s pretty black and white, and I’m happy. But the other ones are more about like where it’s reasoning and then that’s a little bit more of your own clinical decision-making and your own clinical reasoning, and that’s what I don’t want on record. (P15) |
5 | Risk and safety/value considerations | I always think about what the risks are first and then make decisions from that. (P12) |
6 | Suitability and feasibility of alternative modes (including audio vs video recording) | I will offer the families the CD first and foremost, because we have a system for giving them the images. If they say, ‘Oh I just want to show Dad tonight, I don’t think I can wait to pick up the CD next time I’m in,’ generally that’s when the radiographer will give consent. (P14) |
7 | Personal factors, such as personal disposition, values, beliefs and usual behaviours | I’m set in my ways about what is okay and what isn’t okay, but they’re based on my values and my feelings and my – because of my – the years of practice, not necessarily because that’s the way it is or should be. (P05) |
8 | Clinician–patient relationship considerations | It depended on the relationship I had with the person. I think that’s the biggest thing. (P07) |
9 | Clinical confidence and competence | I understand as a new grad or when you’re very fresh new or if you had a difficulty expressing those concerns, that would be really hard to say no. (P03) |
10 | Deferred consent and corruption of hospital policies | Someone else in the room said, ‘Well actually no you can’t,’ and then that was it. (P04) |