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The creation of categories and themes took place as an iterative process with ongoing reflection and revision of categories and themes.
There was no easy solution to this problem, but it did suggest the need for careful and ongoing reflection and documentation of the ways in which such user involvement shaped the generation, interpretation and presentation of data.
This attention to ongoing reflection and work redesign has been identified by researchers investigating the working practices of coders in litigation [ 22, 23] and we have described parallels in the work of reception staff in general practice as they seek to uphold the quality and safety of repeat prescribing [ 37].
Ongoing reflection and informal analysis during data collection also led to a determination, at the end of the first round of data collection, that a fairly complete picture had emerged around the topic, and little new information might be generated from further fieldwork.
We enhanced rigour by paying attention to the voices of the informants (authenticity), staying true to the topics under investigation (credibility), being reflective and critical to both the results and the decision made throughout the research process (criticality) and by having an ongoing reflection and self-criticality of the researcher (integrity) as recommended by Milne and Oberlee [ 9].
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Turbin (2009) found that innovative schools can "regress to the mean," although shared vision, shared decision-making, ongoing reflection on and evaluation of the planning process, and connections between people and activities can help mitigate this challenge.
This is an area requiring continuous improvement through ongoing reflection, experience, and, crucially, the development of procedures for effective independent evaluation and review.
The longitudinal placement is valued as it offers students the benefits of long-term patient follow-up (continuity of care experiences), and ongoing reflection on diagnosis and management decisions as the presentation unfolds (reflection in action).
However, reducing the number of avoidable EPs will require a package of interventions that includes not only patient education and ongoing reflection of cancer cases among practitioners but also system change, including timely and appropriate access to diagnostic tests – while still attending to the bigger picture of the patient's overall well-being – and to secondary care services.
For example, there was ongoing reflection on study practices and adherence to the ethical framework by the first author and the advisory group throughout the study.
To fully develop capabilities needed to succeed in any profession, exposure and ongoing reflection are necessary [ 22].
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CEO of Professional Science Editing for Scientists @ prosciediting.com