Member Checking Research Articles

E-procurement emerged in the 1980s alongside the development of Electronic Data Interchange. Advances in Electronic Data Interchange technology enabled organizations to establish online vendor catalogs, streamlining procurement processes. Despite its recognized benefits, many government ministries, including those in Kakamega County, still face significant inefficiencies due to persistent manual procurement processes, leading to delays and resource misallocation. This study investigated the diffusion of electronic procurement systems within Kakamega County Government Ministries, focusing on the relationship between electronic procurement adoption, information and communications technology training, procurement innovations, and implementation challenges, specifically addressing the ongoing challenges of manual systems and proposing solutions through technological integration. A qualitative case study design was adopted, grounded in the Resource-Based View theory, to provide practical insights beyond theoretical constructs. Data was collected through interviews, observations, and document analysis, with rigorous validation measures such as pilot testing, member checking, and triangulation ensuring data trustworthiness. A purposive sampling strategy was employed, targeting 10 participants across three ministries under study. Thematic analysis and validation were utilized to extract meaningful conclusions aligned with qualitative research methodologies. The findings revealed that targeted information and communications technology/information technology training enhanced user confidence and optimized procurement workflows, directly addressing the lack of preparedness for electronic procurement systems. The adoption of innovative tools such as mobile applications and blockchain technology improved efficiency and transparency, offering solutions to existing bottlenecks. However, challenges such as limited training access and infrastructure gaps persisted, requiring tailored interventions to overcome resistance to change and ensure successful implementation. These efforts transformed Kakamega County Government’s procurement practices into a more efficient and accountable framework. This study held significance beyond its immediate scope, with contributions that informed policy decisions, enriched existing literature by addressing the empirical gap in local ministry electronic procurement adoption, and enhanced operational efficiency within government ministries and the broader field of supply chain management by providing actionable strategies for overcoming implementation hurdles.

Purpose This study aims to examine the sustainability paradox of digital nomadism, using paradox theory to explore how digital nomads navigate tensions between environmental ideals and socioeconomic realities across mobility, consumption and ethical engagement. Design/methodology/approach This study uses reflexive thematic analysis based on in-depth interviews and observations with young digital nomads in Dali, China, incorporating member checking to enhance trustworthiness. It explores how nomads’ sustainability practices are shaped by economic, infrastructural and policy constraints. Findings This study identifies three interdependent sustainability paradoxes: mobility–sustainability, consumption–minimalism and engagement–transience. While digital nomads show environmental awareness and adopt selective sustainable practices, their efforts remain fragmented and constrained by systemic factors such as long-haul travel reliance, market logics, local socioeconomic pressures and regulatory gaps. These dynamics highlight the limits of voluntary, individualized sustainability efforts. Originality/value This study presents one of the first empirically grounded, paradox theory-informed analyses of digital nomad sustainability. Its contribution lies in applying paradox theory as an analytical lens to clarify systemic contradictions in remote work mobilities, and in providing insights for sustainability governance and destination management that integrate environmental stewardship with socioeconomic resilience.

Aim: Parental divorce, as a complex family event, exerts profound effects on the attachment development of adolescent girls, making the examination of their lived experiences essential for designing effective support interventions. Accordingly, the present study aimed to explore the lived experiences of adolescent girls concerning attachment transformation within the context of parental divorce. Methods: This research was conducted using a qualitative approach and a descriptive phenomenological method. Purposeful sampling was carried out among 28 adolescent girls aged 14 to 16 who had experienced parental divorce within the past five years in Isfahan. Data were collected through in-depth, semi-structured interviews (averaging 50 minutes each) and analyzed using Colaizzi’s method. The credibility of the analysis was ensured through member checking and peer review. Findings: Data analysis revealed three overarching themes: 1. Pre-divorce phase: Breakdown of secure attachment foundations characterized by emotional instability and family disruption; 2. During the turbulence of divorce: Emergence of pendular attachment marked by emotional fluctuation and loyalty conflicts; 3. Post-divorce period: Search for new attachment sources involving detachment from primary figures and a tendency toward compensatory attachments. These themes illustrate the profound impact of divorce on adolescents’ attachment relationships and emotional identity. Conclusion: The findings suggest that parental divorce initiates a multi-stage and dynamic process of attachment transformation in adolescent girls, accompanied by emotional, identity, and social challenges. The study emphasizes the need for targeted psychological interventions to strengthen emotional security and social support for this population and provides a qualitative framework for a deeper understanding of their experiences and the development of culturally adapted counseling and family support programs.

BackgroundFalls are a major public health concern among older adults, causing injuries, disability, and reduced quality of life (QoL). Fear of falling (FoF) increases fall risk, yet barriers to reporting FoF and participating in fall prevention strategies (FPS) remain underexplored in culturally diverse and resource-limited settings like Pakistan.ObjectiveThis study aimed to explore the perceived barriers older adults faced in Pakistan in reporting FoF and engaging in FPS, providing insights for culturally sensitive interventions.MethodsA qualitative descriptive study was conducted with 12 community-dwelling older adults (aged 65–80 years) recruited using non-probability purposive sampling. Data was collected through semi-structured interviews, transcribed verbatim, and analyzed using thematic analysis. Trustworthiness was ensured through member checking, data triangulation, and investigator triangulation.ResultsThree main themes emerged. First, FoF and communication—participants hesitated to disclose FoF due to stigma, fear of losing independence, or dismissal by healthcare providers (HCPs). Second, barriers and attitudes toward FPS—logistical challenges, health-related issues, and personal beliefs hindered participation in FPS. Third, support systems and recommendations—financial, motivational, and professional support were emphasized for engagement in FPS. Both groups recommended tailored, accessible FPS and enhanced communication about FoF.ConclusionOlder adults in Pakistan face barriers to reporting FoF and participating in FPS. Culturally sensitive interventions with practical support, personalized care, and community resources are crucial. Findings emphasize the need for strategies to address barriers and enhance FPS participation in resource-limited settings.

Purpose This study aims to investigate Vietnamese teachers’ digital competence, specifically their ability and readiness to integrate educational technology into language teaching. Utilizing a qualitative lens, it seeks to uncover teachers’ lived experiences, highlighting both opportunities and challenges associated with technology integration in their pedagogical practices. By examining contextual factors such as professional development, infrastructure and institutional support, the study intends to generate empirical insights that address existing research gaps related to the localized experiences of Vietnamese English teachers. Ultimately, it provides evidence-based recommendations to inform policies and practices, fostering effective and sustainable technology-enhanced language teaching in Vietnamese educational contexts. Design/methodology/approach This qualitative study employs an interpretative phenomenological approach to explore the lived experiences of Vietnamese language teachers regarding educational technology integration. Data collection involved in-depth, semi-structured interviews with language teachers selected through purposive sampling, ensuring participants possessed relevant teaching experience and varied technology proficiency levels. Thematic analysis was utilized for data interpretation, guided by established frameworks such as the technological pedagogical content knowledge model. To ensure rigor, strategies such as member checking, reflexivity and researcher triangulation were implemented. Ethical considerations, including informed consent and confidentiality, were strictly observed to uphold participants’ anonymity and maintain the credibility and trustworthiness of the findings. Findings Findings reveal that teachers possess basic technological competencies and familiarity with common digital tools, but demonstrate limited adoption of advanced educational technologies. Key barriers identified include persistent technical issues, insufficient professional development, infrastructural limitations and inadequate institutional support. Teachers reported frustration from recurrent technical disruptions and limited training opportunities tailored to their practical classroom needs. Additionally, an absence of systematic professional guidance hindered strategic integration of innovative technologies. These constraints underscore the urgent need for comprehensive, targeted professional development, improved technological infrastructure and sustained institutional backing to facilitate meaningful, innovative and effective integration of technology into teaching practices. Originality/value This study provides significant localized empirical insights into Vietnamese teachers’ experiences with educational technology integration – an under-researched area in current EdTech literature. It highlights the specific challenges faced by language educators in Vietnam, offering a critical perspective on the urgent need for systematic institutional support and targeted professional development programs tailored to local contexts. By addressing these research gaps and offering concrete, actionable recommendations for policymakers, educators and administrators, the research contributes meaningfully to both national policy discourse and international scholarship, supporting practical advancements in sustainable, context-sensitive integration of technology into language education practices.

The biopharmaceutical industry in Iran has made significant progress in recent years, supported by multiple innovation policies aimed at its development. Nevertheless, challenges such as limited resources, skill and managerial gaps, weak networking, and restricted access to funding and incentives have hindered sustainable innovation. This study aims to examine the role of intermediaries in supporting biopharmaceutical companies and to analyze how innovation policies influence technological capabilities, networking, human capital development, and access to funding and incentives in Iran. A qualitative approach was employed, using purposive sampling to select 19 participants from the governmental, academic, and industrial sectors. Data were collected through semi-structured interviews and analyzed using Braun and Clarke's six-step thematic analysis (2006). Data credibility and validity were ensured through member checking, triangulation, and independent coding by two researchers. The findings indicate that innovation policies have advanced across four main dimensions-exploitation of results and production, networking and facilitation, human capital, and funding and incentives-but each dimension faces specific challenges. Intermediaries, including accelerators, technology centers, industry associations, and specialized investment funds, play a key role in addressing these challenges by providing practical training, financial and technical support, facilitating cross-sector collaborations, and establishing professional networks, thereby fostering sustainable development and innovation in the biopharmaceutical sector. Strengthening intermediaries and implementing targeted policies based on companies' real needs can enhance the effectiveness of innovation policies, reduce import dependence, and improve the global competitiveness of Iran's biopharmaceutical industry.

Background High-fidelity clinical simulation is increasingly used in postgraduate nursing education, particularly in mental health training, where it can support the acquisition of competencies for managing complex situations such as suicidal behavior. Objective To explore the perceptions and learning outcomes of mental health nursing residents during high-fidelity simulation sessions, with a focus on communication, affective context, and professional competencies. Methods A mixed study was conducted with a qualitative core design and a complementary quantitative component. Sixty-nine first- and second-year mental health nursing residents from the Community of Madrid participated in simulation sessions structured according to the MAES© methodology. Qualitative data (focus groups, written reports, field notes) were analyzed thematically by three independent researchers, ensuring rigor through triangulation, member checking, and reflexivity. Quantitative contextual data were obtained through a checklist of nursing interventions and descriptive statistics. Results The analysis generated three overarching themes: Communication style (residents emphasized active listening and the importance of non-verbal language; e.g., “Sometimes silence says more than words”), Affective context (awareness of their own emotional impact during patient interactions), and Training, knowledge, and experience (residents identified gaps and valued simulation as a safe environment to bridge them). Quantitative results supported these findings but were interpreted only as contextual information. Conclusions High-fidelity simulation promotes the integration of theoretical knowledge into practice, strengthens self-confidence, and contributes to safer management of suicidal behavior in clinical contexts. The findings support the transferability of simulation-based training to mental health practice and highlight the need for longitudinal research to evaluate its impact on real patient outcomes.

Hospitals increasingly promote clinically expert, postgraduate-prepared nurses into first-line administration, yet the transition from bedside to leadership is often under-supported. This descriptive phenomenological study explored early career growth among ten novice nursing administrators (nine head nurses, one nursing-quality officer) in a tertiary public hospital in Henan Province, China. Semi-structured interviews (32-70 minutes) were analyzed with Colaizzi’s method in NVivo 12. Trustworthiness was strengthened through member checking, peer debriefing, external audit, triangulation of field notes and reflexive journals, and thick description. Four themes emerged: (1) Challenges encountered in nursing management process; complicated in administration (competing role demands), challenges in innovation, challenges in communication and coordination, and lack of administration and professional experience; (2) Growth in nursing administration process; cognitive transformation in nursing profession, improvement of administration ability, and developing psychological quality (resilience); (3) Advisement for other novice nursing administrators; prepare for role transition, advance professional competence (build technical credibility), seek support actively (mentorship and networks), and investing in higher education (appropriately leverage postgraduate education); and (4) Suggestions for nurses with postgraduate degrees; clarify future career direction, maintain original intentions, avoid assimilation, be willing to dedicate and integrate into the team, and develop versatility, pursue continuous learning. A “mountain-journey” simulacrum integrates Self-Leadership Theory, Benner’s Novice-to-Expert model, and McClelland’s Human Motivation Theory to depict progression from instability to a consolidated leadership identity. Postgraduate preparation confers advantages, but does not substitute for structured transition support; institutions should formalize mentorship, implement competency-based orientation, and align incentives with innovation and evidence-based practice to accelerate safe, confident leadership among novice nurse administrators.

Implementation strategies for the provision of fentanyl test strips in community pharmacies: Perspectives from pharmacy teams and harm reduction experts.

The impact of socioeconomic status on the management of epilepsy: a qualitative study.

BackgroundPatient death is an inescapable and emotionally demanding reality in nursing, frequently causing significant stress, particularly for novice nurses. Their limited experience often leaves them psychologically vulnerable to the distress associated with patient mortality and unprepared for sensitive end-of-life communication. Existing research predominantly focuses on experienced nurses, leaving a gap in understanding the unique challenges faced by novice nurses, especially within culturally distinct contexts like Iran, where cultural and religious frameworks profoundly shape grief and death perceptions. This qualitative study aimed to deeply explore the experiences of novice Iranian nurses when encountering patient death in clinical practice.MethodsA qualitative content analysis, guided by Graneheim and Lundman (2004), was used. Twenty novice nurses (less than 36 months clinical experience) were purposively recruited from Iranian hospitals. Data were collected through in-depth, semi-structured interviews. Transcribed interviews underwent rigorous analysis: identifying meaning units, condensation, coding, categorization, and theme development. MAXQDA 2020 facilitated the process. Trustworthiness was ensured via credibility (member checking), dependability (audit trail), confirmability (team discussions), and transferability (thick description).ResultsThe analysis revealed a significant disconnect between the nurses’ intense personal experiences and the lack of institutional support. Six major themes emerged, detailing their journey from the initial Emotional Turmoil and grappling with Ethical Paradoxes, to identifying significant Systemic Gaps in support and education. This journey prompted a challenging Professional Transformation, forcing nurses to engage in Cultural-Spiritual Meaning-Making and a personal search for Seeking Balance.ConclusionNovice nurses are left to navigate the trauma of patient death within a system that fails to adequately prepare or support them. The findings highlight an urgent need for healthcare organizations to implement structured support, such as mandatory debriefing and ethics consultations, and for nursing curricula to integrate practical, high-fidelity training in end-of-life care. Supporting novice nurses is essential for fostering resilience, ensuring compassionate care, and strengthening the nursing profession.Clinical trial numberNot applicable.

Introduction: Stunting remains a public health problem in Jembrana Regency, Bali. Despite a decline in prevalence, persistent cases suggest that cultural and nutritional factors influence feeding practices. This study aimed to explore cultural meanings and practices shaping feeding behaviors among children with stunting. Methods: This study employed a qualitative approach with an ethnographic design. The subjects of this study were 10 mothers or caregivers of children aged 12 - 59 months with stunting, residing in Jembrana Regency, and one healthcare worker was selected using a purposive sampling technique. Data were collected through an in-depth interview guide, an observation sheet, documentation, and field notes. The collected data were then analyzed using a thematic analysis approach. Data validity was ensured through triangulation, peer debriefing, and member checking. Results: The study identified four main themes that reflect how cultural values shape feeding behaviors in children with stunting. These themes include: (1) Snacks as substitutes that reduce appetite for main meals; (2) Normalization of small body size; (3) Flexibility expressed as "as long as the child wants to eat"; and (4) Collective caregiving culture (allomothering). Conclusion: Stunting in Jembrana is influenced by cultural values and family dynamics, so effective interventions must be culturally sensitive and target snack habits, parental misconceptions, dietary diversity, and caregiving coordination, including the role of grandmothers, to reduce stunting risk. Providing culturally sensitive nutrition education involving extended family and child caregivers is necessary in nursing.

This study aims to describe the beliefs of fifth-grade elementary school teachers and students regarding mathematical problem solving, as well as their approaches to teaching and learning problem-solving activities. The research employed a qualitative descriptive method, focusing on the alignment between teachers’ and students’ perceptions of problem solving within an authentic classroom context.The participants consisted of three teachers from different elementary schools in Nunukan Regency, North Kalimantan, and six students identified by the teachers three categorized as successful and three as less successful in solving mathematical problems. Data were collected through semi-structured interviews and documentation, using an interview guide developed to explore teachers’ beliefs and students’ problem-solving strategies. The validity of data was ensured through source triangulation and member checking. Data were analyzed using Miles and Huberman’s (1992) interactive model, which includes stages of data reduction, data display, and conclusion drawing. The findings revealed three main points: (1) teachers generally associated students’ problem-solving success with innate ability, while students attributed success to effort and persistence; (2) both teachers and students shared a narrow understanding of problem solving, viewing it mainly as procedural computation rather than reasoning or exploration; and (3) teachers assessed students’ success primarily based on accuracy in calculation, resulting in classroom practices that emphasized procedures over conceptual understanding.In conclusion, the study highlights the need to strengthen teachers’ pedagogical beliefs and promote reasoning-oriented instruction in mathematics classrooms. However, the limited number of participants restricts the generalizability of the findings. Future studies with larger samples and classroom observations are recommended to validate and expand these results.

Background Healthcare teams rely on interprofessional collaboration (IPC) to improve patient outcomes, yet students often struggle to grasp the importance of interprofessional education (IPE). The University of Louisiana at Lafayette developed IPHE 310, an interprofessional course for Bachelor of Science in Nursing (BSN) and Health Information Management (HIM) students, aligning with Interprofessional Education Collaborative (IPEC) guidelines. Despite curricular revisions, student evaluations revealed ongoing confusion about the relevance of interprofessional education (IPE) and a disconnect between disciplines. This article reports the qualitative phase of an explanatory mixed methods study which examined these challenges by assessing student readiness for IPC and exploring BSN and HIM students’ perceptions of IPE. Methods The qualitative phase of the study involved the analysis of focus group discussions with students who attended the educational intervention, the “IPE is Key” workshop, using a semi-structured interview guide informed by prior IPE research. Focus group data were analyzed using the Scissor and Sort method, ensuring reliability through peer coding and member checking. Results Findings revealed four overarching themes with six subthemes: (1) Collaboration (certainty of roles, confidence in others), (2) Curricula (cultivation of skills, contact with students in other programs), (3) Communication, and (4) Catalysts (confirmation of readiness, culture). Participants emphasized that early, structured exposure to interprofessional roles fosters teamwork, trust, and respect. They advocated for increased integration of IPE across curricula and hands-on activities to reinforce IPC competencies. Conclusions This study underscores the need for early and continuous IPE exposure to enhance students’ understanding of IPC. While the “IPE is Key” workshop improved readiness, focus group findings suggest that sustained, structured interactions across disciplines are essential for fostering collaborative competencies. Future research should explore long-term impacts of IPE interventions and strategies to bridge the gap between clinical and non-clinical health professions.

Drawing is established as an effective teaching pedagogy in medical education, particularly in teaching anatomy. Research shows retention rates are significantly higher when learners engage in active learning techniques. Additionally, practical application is greater with active learning techniques. Drawing for retention (DfR) is an active learning technique involving instructor-led drawing, where students imitate the drawings while simultaneously rehearsing key concepts. There is a paucity of research examining the effectiveness of DfR for applied concepts such as 12-lead ECG interpretation. The purpose of this qualitative study was to explore student perceptions following their engagement with Drawing for Retention (DfR) as a teaching technique. Fourteen paramedic students (9 males, 5 females) participated in this phenomenological qualitative study. Data saturation guided the number of participants. Participants were interviewed via Zoom using a semi-structured interview guide. Data were analyzed through phenomenological reduction, with data coded for common themes and subthemes. Trustworthiness was established via member checks, peer review, and multi-analyst triangulation. Two themes emerged: perceptions of learning and application to patient care. Participants felt drawing allowed them to make connections with complex material while retaining the information. Additionally, participants did not need to spend as much time studying to retain the information, as compared to traditional lecture classes. Additionally, participants were able to bridge the knowledge-practice gap and apply the information clinically. This led to more effective and efficient patient diagnoses, increased confidence with patient care, and a resource for making decisions and providing patient education.

The study aims to provide information on Participative Goal-Setting Practices (PGSPs) by focusing on organizational change in public secondary school development planning in Morogoro Municipality, Tanzania. Convergent design was employed under a mixed approach to carry out the research. The study stemmed from Total Quality Management (TQM) theory, which was propounded by important gurus such as W. Edwards Deming and Juran after World War II. The study also involved 183 as a sample, whereby 01 Educational officer, 09 heads of schools, 82 secondary school teachers, and 91 students. Semi-structured interview guides and self-administered questionnaires were utilized effectively in gathering the information from the selected participants. Assurance on validity and reliability was established by consulting experts, member checking, the Cronbach Alpha technique, and a successful pilot study was conducted. Hypothesis testing was done through inferential statistics by the use of a simple linear regression. The study demonstrated that PGSPs are a catalyst for positive organizational change in school development planning. In addition, the study indicated that Participative goal-setting practices lead to the encouragement of sharing of responsibilities, improvement of the school’s environment, advancement in transparency and accountability, better discipline, and efficient optimization of resources. The tested hypothesis indicated no significant relationship between participative goal-setting practices and organizational change in school development plans in public secondary schools in Morogoro Municipality. Moreover, the study concluded that positive organizational change is highly driven by effective PGSPs, whereby the school administration monitors regular success of goal-setting, increasing sense of ownership among stakeholders, and enhancing commitment to implementing organizational changes. Additionally, the study recommended creating a conducive environment for attracting and encouraging various educational stakeholders to be involved in school development plans and conducting various projects specifically for raising awareness concerning participative goal-setting practices for the best achievement of the desired organizational goals and objectives.

Living with cancer is challenging. The journey of treatment and recovery can be a daunting experience for individuals with cancer as well as caregivers. Studies have shown that cancer survivors’ coping strategies and the support received were keys to recovery. Hence, this research aims to explore the challenges faced by cancer survivor and caregiver, their unmet needs, coping strategies, support and changes they have discovered during the recovery journey. A qualitative research method was adopted where a cancer survivor and a caregiver were chosen purposively. Both of them were interviewed separately in order to understand their experience in an in-depth manner. The data was transcribed and analysed with thematic analysis aided by Nvivo 12. Data was triangulated through member checking, informants’ and experts’ validation. Informal observation, newspaper articles and social media communication were referred to ensure the trustworthiness of the data. The findings show that both cancer survivor and caregiver were overwhelmed with negative emotions. However, both parties entrusted their beliefs to God and combated the disease with perseverance and optimism. Their personality, coping strategies and support received from family, friends and communities were their main resources. This study suggests that forming supportive communities and involving mental health professionals enable both individual with cancer and caregiver to face the disease in a more proactive manner.

The purpose of this study is to examine the role of online game players in building intercultural tolerance through interactions in cyberspace. This study uses a qualitative approach with a phenomenological study type to explore the experiences of online game players in cross-cultural interactions. The research subjects consisted of seven players selected through purposive sampling, using snowball sampling until the data was saturated. Data collection techniques were through semi-structured interviews and participant observation, then data analysis used the interactive model of Miles and Huberman through the stages of reduction, presentation, and drawing conclusions. Data validity was ensured through triangulation of sources and methods, accompanied by member checking with participants. The results of the analysis show four main findings: (1) online games act as a means of social interaction as well as entertainment, (2) cross-cultural communication is a factor that can strengthen and hinder relationships, (3) the practice of tolerance is reflected in the ability to manage emotions, compromise, act as a mediator, and use humor, and (4) educational values are apparent in the form of increased language skills, empathy, patience, and appreciation for diversity. Although verbal and strategic conflicts often arise, the emerging resolution patterns show that digital space has strong potential as a medium for learning tolerance and cross-cultural collaboration.

The protection of patient personal data is a crucial aspect of digital healthcare services. Yogyakarta City Hospital has implemented an SMARTA-based Electronic Medical Record (EMR) system as part of its policy to protect patient data in accordance with national regulations and internal hospital regulations. However, the success of policy implementation is not only determined by the existence of the system, but also by how the policy is implemented by those in the field. This study aims to analyze the implementation of patient personal data protection policies through the perspective of Edward III's Policy Implementation Theory, which covers four main variables, namely communication, resources, implementer disposition, and bureaucratic structure. This study used a qualitative descriptive approach with 20 informants selected through purposive sampling, involving medical record officers, information technology staff, health workers, legal staff, and management officials at the Yogyakarta City Hospital. Data were collected from August to October 2025 through in-depth interviews, observations, and documentation studies, then analyzed using the Miles and Huberman interactive model and validated through triangulation and member checking. The results of the study indicate that policy communication has been effective, but understanding of data access restrictions is not yet uniform, human resource competence in digital security is still limited, and coordination between units, especially between the information technology department and the polyclinic, is not yet optimal in handling patient data incidents. The results of the study show that based on interviews and observations, most informants stated that policy communication and the commitment of implementers to maintain the confidentiality of personal data had been carried out in accordance with procedures, although several technical obstacles were still found in the distribution of information and access monitoring, particularly in terms of clarity of communication and the commitment of implementers to maintain data confidentiality. However, there are still obstacles in the form of uneven distribution of information, limited human resource competencies related to digital security, the practice of using shared accounts, and monitoring mechanisms that tend to be reactive. This study is expected to provide practical recommendations for public hospitals in their efforts to improve patient data protection management in a sustainable and secure manner.

Telehealth-based nutrition care is increasingly used for polycystic ovary syndrome (PCOS); yet, little is known about women's real-world experiences with PCOS-specific telenutrition in tertiary care settings. Understanding these experiences can guide patient-centered service design. We aim to explore women's lived experiences, barriers, and preferences regarding telehealth-based nutrition interventions for PCOS and to derive actionable design implications. We conducted a qualitative descriptive study at a tertiary clinical nutrition center in Beijing, China. Purposive sampling recruited 12 adult women with PCOS who had engaged in telenutrition for at least 3 months. We conducted one-on-one, semistructured video interviews via WeChat (Tencent Holdings Limited; approximately 45-60 minutes each) between February and March 2025; interviews were audio-recorded, transcribed verbatim, and analyzed using the reflexive thematic analysis by Braun and Clarke. Trustworthiness was enhanced through dual-coding, audit trails, reflexive memos, and member checking. Four participant-framed themes captured a tension between high acceptability and unmet needs. (1) "It fits my life"-convenience and access: flexible scheduling, reduced travel, and greater privacy lowered practical and emotional barriers and fostered a sense of continuity. (2) "One size doesn't fit me"-frictions undermining engagement: standardized guidance did not reflect metabolic individuality (eg, insulin resistance or cycle-related symptoms) or daily routines; usability issues (glitches or nonintuitive logging) and limited communication bandwidth or timeliness impeded use. (3) "I'm not just a diet"-emotional and behavioral responses: timely, empathic feedback increased agency and accountability and supported adherence, whereas impersonal or delayed interactions left emotional needs unmet, highlighting the need for integrated mental health support. (4) "Make it smarter and more human"-participant recommendations: priorities included data-informed personalization (integration of laboratory and body-composition data and symptoms), integrated tracking and feedback loops, proactive check-ins with response-time standards, options for peer support, and cognitive behavioral therapy-informed microlessons. Telenutrition for PCOS is acceptable and convenient, but often underpersonalized and psychologically undersupported. Design implications include integrating individual metabolic data, embedding mental health screening and brief supports, instituting dietitian-initiated follow-ups, and improving usability and interactive feedback. Addressing the metabolic, reproductive, and psychological complexity of PCOS is essential for effective, scalable telehealth-based nutrition services.