The interview guide was crafted with the aim to discern the interactions between different professionals and hierarchical levels. The interviews were fully recorded and transcribed. To analyze the data gathered, we utilized Nvivo software. The transcripts were analyzed using thematic content analysis, a methodological approach that involves a set of tools to examine discourse 41. To conduct this analysis, we employed an open coding approach that combined top-down coding from the theoretical framework and bottom-up coding from the field to address the process of data condensation while maintaining a comprehensive logic. This approach allowed us to establish certain categories of analysis in advance based on the literature, while others emerged during the coding process. The themes derived from the conceptual foundations of the research provided reference points, while avoiding the circularity characteristic of qualitative research 42.
The second phase of the coding process involved linking the initial codes to identify the central recurring themes, a process commonly referred to as axial coding. This led to the formalization of categories in the third stage. Ultimately, the accumulation of these categories resulted in the emergence of overarching themes that brought together the key ideas in the data and provided a synthesized understanding of the mechanisms under study. The various coding stages facilitated the structuring of the collected data, promoting a progressive conceptualization (as illustrated in Figure 3).