Checking of transcripts and coding the transcript themes was guided by thematic analysis [ 32] undertaken independently by a minimum of three researchers given the complexity of group interview analysis [ 33].
Ullrich et al. [24] also suggested that the use of the PARA-SCI might have limited application for other investigators, besides the developers, due to the exclusion of subjective appraisals and the technical complexity of interview administration.
Given the enormous complexity of interviewing, recruiting and confirming hundreds of senior officials, most administrations in recent years have not been fully staffed and organized until well into their first year in office.
Gallagher et al. [ 51] argued that the description of treatment seeking responses as incorporating causal beliefs and coping responses does not sufficiently reflect the complexity of the process described by interview participants.
Reflecting the complexity of the topics explored, most interviews lasted over one hour and many lasted more than two.
"It's a very complex operation in which the human element has not been aligned with the complexity of the system," he said in an interview last week.
Results: The interviews reveal the complexity of CPOE.
Full thematic saturation was reached towards the last interviews, reflecting the complexity of the narratives.
The think aloud interviews highlighted the complexity of the decisions behind the simple responses on the form, and the findings echo previous work on patients completing ostensibly simple satisfaction questionnaires and outcome scales[ 20, 21].
Four key themes emerged from the interviews: 1) the complexity of career and training paths; 2) all treatment is individualized; 3) the practice of therapies evolves over time; and 4) clinical practice and research treatment protocols are different.
