Box 1.

Description of data analysis

  • Familiarisation with the data was achieved initially through transcription. To be immersed in the data, the researcher listened to the audio-recording of each interview, re-read the transcripts and made notes of first impressions.

  • Initial codes were generated. The researcher coded all transcripts, and 69 codes were identified.

  • Themes were searched for. Codes were collated in three prospective themes, with 11 candidate sub-themes.

  • Themes were reviewed. Several sub-themes merged to produce nine sub-themes within the three main themes.

  • Themes and sub-themes were defined and named: system, people and technology.

  • Finally, this paper was produced. Themes were interpreted using the diffusion of innovations theoretical lens.