Rigour and quality criteria
| Criteria | Description |
|---|---|
| Theoretical, epistemological, and methodological soundness | A hermeneutic approach is well suited to exploring perceptions, values, and expectations in context—key elements of quality culture. It enables rich interpretation of quality-related phenomena beyond traditional biomedical standards |
| Relevance | The predisposing, enabling, and reinforcing factors identified shape internal leads’ behaviour and support the embedding of quality culture. Understanding these dynamics enhances the transferability of findings to similar healthcare settings |
| Validity | Triple triangulation was applied: (1) between the lead author and participants, (2) between the lead author and the research team, and (3) across data collection methods (interviews and observation) |
| Reflexivity | The lead researcher has worked for three years in the Quality Unit of the institution where the study participants are based. Her role includes advising units undergoing self-assessment for accreditation, making her the team member with the closest working relationship to internal leads. Although she knows all participants personally, she has only worked directly with four. She is familiar with the content of each project, its accreditation level, the profile of each internal lead, and the maturity level of each unit in terms of quality improvement |
| This proximity to the phenomenon under study provided strong motivation to undertake the research, with the aim of generating findings that could facilitate the accreditation process and ultimately enhance care quality within the institution | |
| The remaining team members are academics with expertise in both qualitative and quantitative research, and are also involved in quality accreditation processes within their respective universities |
| Criteria | Description |
|---|---|
| Theoretical, epistemological, and methodological soundness | A hermeneutic approach is well suited to exploring perceptions, values, and expectations in context—key elements of quality culture. It enables rich interpretation of quality-related phenomena beyond traditional biomedical standards |
| Relevance | The predisposing, enabling, and reinforcing factors identified shape internal leads’ behaviour and support the embedding of quality culture. Understanding these dynamics enhances the transferability of findings to similar healthcare settings |
| Validity | Triple triangulation was applied: (1) between the lead author and participants, (2) between the lead author and the research team, and (3) across data collection methods (interviews and observation) |
| Reflexivity | The lead researcher has worked for three years in the Quality Unit of the institution where the study participants are based. Her role includes advising units undergoing self-assessment for accreditation, making her the team member with the closest working relationship to internal leads. Although she knows all participants personally, she has only worked directly with four. She is familiar with the content of each project, its accreditation level, the profile of each internal lead, and the maturity level of each unit in terms of quality improvement |
| This proximity to the phenomenon under study provided strong motivation to undertake the research, with the aim of generating findings that could facilitate the accreditation process and ultimately enhance care quality within the institution | |
| The remaining team members are academics with expertise in both qualitative and quantitative research, and are also involved in quality accreditation processes within their respective universities |
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