To ensure trustworthiness, the researchers applied the principles of credibility, dependability, confirmability, and transferability [20]. Member checks were done at the end of each interview to ensure participants’ views were well presented ensuring credibility. The researchers provided a detailed description of the study setting, methodology (COREQ criteria were used) [21], and background of the study sample to allow for the transferability of the findings in a similar context and setting. To ensure confirmability, an audit trail was kept for other researchers to validate the processes undertaken in the study. The researchers’ ensured dependability through peer debriefing with all the research activities and processes described in detail to enable replication.

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