Workshop, step 2

New instructions for the next step in the analysis of condensates in subgroups

We have now finished coding all subgroups together. Thank you for your valuable contributions!

Moving forward, we will focus on producing results from the analysis. We will now work with summarizing the units in all subgroups, starting with the subgroups in the category communication, barriers, and competence in clinical settings.

For the next analysis meeting, we will write summaries for the four subgroups: "barriers for care", "building trust and establishing ways to address LGBTQ+", "clinical coordination of healthcare and support", or "interpreter services". We will write one summary for each subgroup. Moving through each of the subgroups, we follow the following steps:

1. Read through all the meaning units in the subgroup.
2. Identify one rich and vivid meaning unit that captures the essence of the subgroup.
3. Look for other meaning units that complement or add to the first one.
4. You will now start to write a summary, written like an artificial quote as if one of the participants said it. Combine and edit the selected meaning units into a text that conveys the essence of the subgroup.
5. Use your own words, but try to maintain the original terminology as much as possible. Be creative when you write the artificial quote.

Your condensate should be a few sentences long up to a half a page, and written in the first person, as if the participant is speaking directly.

 

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New instructions for the next step in the analysis of subgroups that we have coded together

We have now finished coding all discussions together. You have all done such a good and thorough work, thank you for your valuable contributions!

Moving forward, we will now focus on the coded units in each of the codegroups. Our intention will now be to identify the different smaller components of each subgroup. For example, we ask 'what are the different components of the codegroup Communication, barriers, and competence in clinical settings'. 

Here we present some preliminary subgroups for the first codegroup that we will analyze together. We have identified these based on the joint discussions at the analysis meetings. Tommy and Maria have suggested the following preliminary subgroups, which we will revise and code together at the next meeting. The next analysis meeting we will focus only on Communication and competence in clinical settings, so please just code the units in that one. We ask you to color the units according to the following structure:

Communication and competence in clinical settings
Yellow: Barriers for care and challenges identifying the target population
Blue: Co-ordination of care and support
Red: Interpreter services
Green: Person-centered care and LGBTQ+ competent communication

As far as possible, try to constrain yourself to code a section in a unit in one of the colors. However, you are free to divide longer units into several different subgroups. Some units are very long, and these we will have to divide into smaller sections.

When we will meet, we will go through the units and decide on which subgroups it belongs to.

Please contact Tommy if you have any questions or concerns!

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Here are the previous instructions for the workshops we already have done together:

Summary of the updated analysis of discussions with health professionals

1. Following the coding procedure of the first transcripts, we added two new themes:

• Underline text in blue for the new theme Authorities and governmental organization
• Underline text in red for the new theme Suggestions for support interventions

2. We decided to incorporate the previous theme Barriers for care and challenges related to identifying the target population in clinical settings (yellow) into the theme Communication and competence in clinical settings (red). The theme will change name so that it is instead Communication, barriers, and competence in clinical settings. Please continue to highlight it in yellow as previously, then we will have an easier time placing it into that, as a subgroup in communication, barriers, and competence in clinical settings later on.

The definitions of the two new themes are as follows:

• Authorities and governmental organization
  Here you place everything that involves statements related to the structure, processes, and competence in authorities and governmental organizations, including Migrationsverket (Migration Agency).
  
  
• Suggestions for support interventions
  Here you place everything that involves statements/answers about relevant support interventions for LGBTQ+ forced migrants. For example, in the end of each discussions we ask participants to suggest relevant interventions that may support the situation, health, and wellbeing of persons within the target population. Those statements are placed in this theme. Please note that the participants need to talk about it as a potential intervention, not just talk in general about important aspects of health services.

 

Here are the instructions, with updated versions:

Directions for the next step in the analysis of discussions

Thank you for participating in the first step of our analysis of discussions with health professionals. In the workshops we had together, we talked about our individually identified preliminary themes and settled on four preliminary themes that we all felt covered the content of the discussions. These four themes are summarized below.

In the next step in the analysis, we will all individually prepare by reading one transcript and code parts of the text with different colors representing the four themes. The section of text that we highlight in the transcript is called a meaning unit. You should aim to include as much of the context needed to understand it as an extracted part of the document.

A meaning unit can be a sentence, several sentences, or even one (or several) paragraphs. If you feel that a meaning unit that you have identified fits into more than one theme, you can highlight it as being part of all the themes you feel is appropriate. Please highlight the meaning units in the following colors:

• Blue for the theme Descriptions of the experiences within the target population
• Red for Communication, barriers, and competence in clinical setting
  • As a subgroup under this theme: Yellow for Barriers for care and challenges related to identifying the target population in clinical settings
• Green for Social support and support from non-governmental organizations through external resources/processes
• Underline text in blue for the new theme Authorities and governmental organization
• Underline text in red for the new theme Suggestions for support interventions

At the end of this page, you can read a summary of this step according to Malterud, which we are following. Malterud is the author of the analytic process called systematic text condensation.

Please note that we will now herafter refer to our five preliminary themes as code groups.

If you feel that some important aspects of the discussions are not highlighted sufficiently based on our four code groups as detailed above, then please write down you suggestions for more code groups. We will discuss this during our next meeting and if we feel it is necessary we have the option of revising the existing code groups, or alternatively, to add new code groups. Please feel free to be creative in this process.

We will discuss our coding processes in detail when we meet next time in January. Then, we will go through the transcript we have coded and settle on final a coding together.

The dates/times for the meetings planned for this spring is presented online at our website: https://www.rkh.se/workshops

Please write down the future dates and times in you schedule. If you are unable to attend some meetings, please contact Tommy and we will discuss it together to try and find a solution.

Looking forward to collaborating with you all!

Theme 1