Coding
Once the initial aggregation was completed, open coding was conducted to further explore some details of the aggregative review. Open coding in systematic reviews and primary research is somewhat different. The open coding in this systematic review had the researchers interpreting both the participant data and author analysis to provide third-order constructs (Britten et al. 2002). The researchers focused the coding on areas that stood out in the aggregative review that would benefit from more detailed analysis. In this study, the informal contexts and the positive outcomes were coded. Sandelowski et al. (2011) postulated that researchers need to be careful to ensure that the context and original meaning of the raw data are preserved when conducting a secondary analysis. To this end, the coding was conducted by the two primary researchers where the code names and placement of the studies were first determined individually and then through discussion until a consensus was met.