h field notes from observations to identify issues of importance. Relevant themes were cross-referenced (How? By individual questionnaire, or by total number of questionnaires?) in order to establish their validity (Again, how? If validity is based on the level of importance by topic, then all the comments previously made do apply) and to maintain consistency among experiences of the participants in the interpretation of the information gathered. This reviewer has underlined the word "maintain", because it indicates an inconsistency with the very nature of an open-ended questioning. At best, it indicates preconceivedùand likely biased-- notions on the part of the author in search of easy validation. At worst, it may be that the themes that emerged may have been developed prior to the statement of hypotheses. In either case, it casts serious doubt on the validity of the study design and methodology, and thereby on i
...