After making a decision to introduce RSS in our hospital, we initially informed obstetricians, pediatricians, nurses in the operating room, obstetric suite and neonatal intensive care unit of the details of RSS, and held repeated discussion to clarify the role of each staff to create a local protocol of RSS.
Repeated discussion, reasoning and reflection during the coding process led to a well-defined set of codes.
The questionnaire used in this study was developed after a review of the domestic and international literature, and it was modified after repeated discussion among the research team and doctors/nurses at the clinics studied.
The filibuster was by turns compelling and deeply monotonous, featuring passionate political stemwinders, oratorical flights of fancy, and repeated discussion about hot-button topics such as Ferguson.
Team consensus about the answers to the above questions was achieved through repeated discussion and reviewing of the primary data.
Inconsistencies were resolved after repeated discussion among the original author, the English translator and the Japanese investigators and a final version was generated.
In addition to the initial MDT discussion of cases of newly diagnosed cancer, many cases will need repeated discussion at the MDT meeting at various points along the care pathway – e.g. when planning or reviewing the results of treatment.
In our study, the use of gloves during delivery and hand washing during and after delivery were mentioned infrequently, despite repeated discussion of the need for cleanliness to avoid infant infections.
Other features that have supported community engagement in KGBC are that a discrete geographic community is involved, unlike some other forms of research or community, and that since healthy children are being recruited, there are opportunities for informed consent to be part of a process involving repeated discussions over time.
The views of all are heard (free exchange of ideas), key players are asked to write a protocol (delegating) and repeated discussions (giving and receiving feedback) resulted in agreement on the protocol.
