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).