Data analysis
A pragmatic approach with an ontological approach of subtle realism was
adopted during data analysis33. Framework analysis as
described by Spencer et al34 was selected because it
facilitates looking into the participants’ perspectives about an
external existing reality. The method of analysis allows for an
objective and transparent interpretation by setting forward existing
knowledge and literature as a framework for organizing emerging data.
Constructs included in the topic guide were used as a framework to
organize the data for further indexing. The process includes five
stages: 1) Familiarization; 2) Identifying thematic framework; 3)
Indexing; 4) Charting; 5) Mapping and interpretation.