{"id":"https://openalex.org/W7223154181","doi":"https://doi.org/10.3389/fpsyg.2026.1868184","title":"Challenges to research progression among part-time master\u2019s students in nursing in China: a qualitative descriptive study","display_name":"Challenges to research progression among part-time master\u2019s students in nursing in China: a qualitative descriptive study","publication_year":2026,"publication_date":"2026-10-21","ids":{"openalex":"https://openalex.org/W7223154181","doi":"https://doi.org/10.3389/fpsyg.2026.1868184","pmid":"https://pubmed.ncbi.nlm.nih.gov/42985065","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13731353"},"language":"en","primary_location":{"id":"doi:10.3389/fpsyg.2026.1868184","doi":"https://doi.org/10.3389/fpsyg.2026.1868184","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1868184","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1868184/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1868184/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100430372","display_name":"Hong Zhang","orcid":"https://orcid.org/0000-0003-4943-1859","observed_orcids":["https://orcid.org/0000-0003-4943-1859"]},"institutions":[{"id":"https://openalex.org/I4210129459","display_name":"The Affiliated Yongchuan Hospital of Chongqing Medical University","ror":"https://ror.org/033vnzz93","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210129459"]},{"id":"https://openalex.org/I4405282065","display_name":"Chongqing Nursing Vocational College","ror":"https://ror.org/05961sf11","country_code":"CN","type":"education","lineage":["https://openalex.org/I4405282065"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Hong Zhang","raw_affiliation_strings":["Chongqing Nursing Vocational College","Department of Nursing, The First Affiliated Hospital of Chongqing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chongqing Nursing Vocational College","institution_ids":["https://openalex.org/I4405282065"]},{"raw_affiliation_string":"Department of Nursing, The First Affiliated Hospital of Chongqing Medical University","institution_ids":["https://openalex.org/I4210129459"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048258767","display_name":"Xue Xiong","orcid":"https://orcid.org/0000-0001-6959-8977","observed_orcids":["https://orcid.org/0000-0001-6959-8977","https://orcid.org/0009-0004-6776-0634"]},"institutions":[{"id":"https://openalex.org/I4210129459","display_name":"The Affiliated Yongchuan Hospital of Chongqing Medical University","ror":"https://ror.org/033vnzz93","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210129459"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xue Xiong","raw_affiliation_strings":["Department of Nursing, The First Affiliated Hospital of Chongqing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, The First Affiliated Hospital of Chongqing Medical University","institution_ids":["https://openalex.org/I4210129459"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125461269","display_name":"Liyu Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210129459","display_name":"The Affiliated Yongchuan Hospital of Chongqing Medical University","ror":"https://ror.org/033vnzz93","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210129459"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Liyu Chen","raw_affiliation_strings":["Department of Nursing, The First Affiliated Hospital of Chongqing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, The First Affiliated Hospital of Chongqing Medical University","institution_ids":["https://openalex.org/I4210129459"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101920337","display_name":"Jun Shen","orcid":"https://orcid.org/0000-0002-2881-0342","observed_orcids":["https://orcid.org/0000-0002-2881-0342"]},"institutions":[{"id":"https://openalex.org/I4210129459","display_name":"The Affiliated Yongchuan Hospital of Chongqing Medical University","ror":"https://ror.org/033vnzz93","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210129459"]},{"id":"https://openalex.org/I4405282065","display_name":"Chongqing Nursing Vocational College","ror":"https://ror.org/05961sf11","country_code":"CN","type":"education","lineage":["https://openalex.org/I4405282065"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jun Shen","raw_affiliation_strings":["Chongqing Nursing Vocational College","Department of Nursing, The First Affiliated Hospital of Chongqing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chongqing Nursing Vocational College","institution_ids":["https://openalex.org/I4405282065"]},{"raw_affiliation_string":"Department of Nursing, The First Affiliated Hospital of Chongqing Medical University","institution_ids":["https://openalex.org/I4210129459"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102994429","display_name":"Shuang Liang","orcid":"https://orcid.org/0000-0002-9917-1250","observed_orcids":["https://orcid.org/0000-0002-9917-1250"]},"institutions":[{"id":"https://openalex.org/I4405282065","display_name":"Chongqing Nursing Vocational College","ror":"https://ror.org/05961sf11","country_code":"CN","type":"education","lineage":["https://openalex.org/I4405282065"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Shuang Liang","raw_affiliation_strings":["Chongqing Nursing Vocational College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chongqing Nursing Vocational College","institution_ids":["https://openalex.org/I4405282065"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5102994429"],"corresponding_institution_ids":["https://openalex.org/I4405282065"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.83671662,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"1868184","last_page":"1868184"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11832","display_name":"Doctoral Education Challenges and Solutions","score":0.9887999892234802,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11832","display_name":"Doctoral Education Challenges and Solutions","score":0.9887999892234802,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.003800000064074993,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.0024999999441206455,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nursing-postgraduate-education","display_name":"nursing postgraduate education","score":0.9039999842643738},{"id":"https://openalex.org/keywords/role-conflict","display_name":"role conflict","score":0.5929999947547913},{"id":"https://openalex.org/keywords/resource-depletion","display_name":"resource depletion","score":0.9120000004768372},{"id":"https://openalex.org/keywords/structural-barriers","display_name":"structural barriers","score":0.6669999957084656},{"id":"https://openalex.org/keywords/academic-support-systems","display_name":"academic support systems","score":0.5720000267028809},{"id":"https://openalex.org/keywords/academic-self-confidence","display_name":"academic self-confidence","score":0.6830000281333923},{"id":"https://openalex.org/keywords/student-withdrawal","display_name":"student withdrawal","score":0.621999979019165}],"concepts":[{"id":"https://openalex.org/C106399304","wikidata":"https://www.wikidata.org/wiki/Q868123","display_name":"Snowball sampling","level":2,"score":0.6973000168800354},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6735000014305115},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.6401000022888184},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.608299970626831},{"id":"https://openalex.org/C13200473","wikidata":"https://www.wikidata.org/wiki/Q2747831","display_name":"Reflexivity","level":2,"score":0.6065000295639038},{"id":"https://openalex.org/C100363876","wikidata":"https://www.wikidata.org/wiki/Q690661","display_name":"Nonprobability sampling","level":3,"score":0.5814999938011169},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.5512999892234802},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4498000144958496},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.42260000109672546},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.4154999852180481},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.38659998774528503},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3774000108242035},{"id":"https://openalex.org/C113616995","wikidata":"https://www.wikidata.org/wiki/Q13378080","display_name":"Nurse education","level":2,"score":0.3564999997615814},{"id":"https://openalex.org/C518773536","wikidata":"https://www.wikidata.org/wiki/Q918533","display_name":"Nursing research","level":2,"score":0.3508000075817108},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.3449000120162964},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.2928999960422516},{"id":"https://openalex.org/C85973986","wikidata":"https://www.wikidata.org/wiki/Q1091731","display_name":"Exploratory research","level":2,"score":0.2888999879360199},{"id":"https://openalex.org/C50962388","wikidata":"https://www.wikidata.org/wiki/Q762018","display_name":"Invisibility","level":2,"score":0.2849000096321106},{"id":"https://openalex.org/C47177190","wikidata":"https://www.wikidata.org/wiki/Q207137","display_name":"Curriculum","level":2,"score":0.28290000557899475},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.2808000147342682},{"id":"https://openalex.org/C112758219","wikidata":"https://www.wikidata.org/wiki/Q16038819","display_name":"Duration (music)","level":2,"score":0.28040000796318054},{"id":"https://openalex.org/C12713177","wikidata":"https://www.wikidata.org/wiki/Q1900281","display_name":"Perspective (graphical)","level":2,"score":0.2702000141143799},{"id":"https://openalex.org/C129671850","wikidata":"https://www.wikidata.org/wiki/Q210501","display_name":"Introspection","level":2,"score":0.26339998841285706},{"id":"https://openalex.org/C3018587665","wikidata":"https://www.wikidata.org/wiki/Q7268696","display_name":"Qualitative analysis","level":3,"score":0.257999986410141},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2574000060558319},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.2540000081062317},{"id":"https://openalex.org/C2780573756","wikidata":"https://www.wikidata.org/wiki/Q977433","display_name":"Wonder","level":2,"score":0.2502000033855438}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fpsyg.2026.1868184","doi":"https://doi.org/10.3389/fpsyg.2026.1868184","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1868184","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1868184/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13731353","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13731353/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13731353/pdf/fpsyg-17-1868184.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Psychol","raw_type":"Text"},{"id":"pmid:42985065","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42985065","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in psychology","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:f0dd69c920c54874bee35ec55a500f9a","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/f0dd69c920c54874bee35ec55a500f9a","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Psychology, Vol 17 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpsyg.2026.1868184","doi":"https://doi.org/10.3389/fpsyg.2026.1868184","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1868184","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1868184/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.6164000034332275,"id":"https://metadata.un.org/sdg/4","display_name":"Quality education"},{"score":0.428600013256073,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223154181.pdf","grobid_xml":"https://content.openalex.org/works/W7223154181.grobid-xml"},"referenced_works_count":47,"referenced_works":["https://openalex.org/W71220163","https://openalex.org/W1979290264","https://openalex.org/W1981504439","https://openalex.org/W2047706901","https://openalex.org/W2051212724","https://openalex.org/W2058133198","https://openalex.org/W2058398044","https://openalex.org/W2085028749","https://openalex.org/W2135273823","https://openalex.org/W2136424426","https://openalex.org/W2138664283","https://openalex.org/W2146906531","https://openalex.org/W2159165123","https://openalex.org/W2159367925","https://openalex.org/W2164030952","https://openalex.org/W2164965146","https://openalex.org/W2165049423","https://openalex.org/W2169150420","https://openalex.org/W2171235500","https://openalex.org/W2216233251","https://openalex.org/W2254735081","https://openalex.org/W2305278139","https://openalex.org/W2331254638","https://openalex.org/W2397342484","https://openalex.org/W2460117687","https://openalex.org/W2528852890","https://openalex.org/W2745224068","https://openalex.org/W2759377378","https://openalex.org/W2770289357","https://openalex.org/W2794861079","https://openalex.org/W3003350792","https://openalex.org/W3028710966","https://openalex.org/W3033130766","https://openalex.org/W3043475425","https://openalex.org/W3146157037","https://openalex.org/W3154783759","https://openalex.org/W3202447213","https://openalex.org/W4280644384","https://openalex.org/W4318204991","https://openalex.org/W4323652556","https://openalex.org/W4387378131","https://openalex.org/W4391897521","https://openalex.org/W4393945112","https://openalex.org/W4394837469","https://openalex.org/W4403019988","https://openalex.org/W4403438474","https://openalex.org/W4411372794"],"related_works":["https://openalex.org/W4411372794","https://openalex.org/W4393945112","https://openalex.org/W4413764948","https://openalex.org/W7196924282","https://openalex.org/W4396916586","https://openalex.org/W7218147128","https://openalex.org/W4387801576","https://openalex.org/W4412779719","https://openalex.org/W4408514462","https://openalex.org/W2355307684"],"abstract_inverted_index":{"Introduction:":[0],"Since":[1],"2017,":[2],"master's":[3,80],"programs":[4],"in":[5,7,15,59,82,85,106,164,236,278,290],"nursing":[6,83,291],"China":[8],"have":[9],"admitted":[10],"part-time":[11,79,287,318],"candidates":[12],"who":[13,112,242],"remain":[14],"full-time":[16],"clinical":[17,305],"employment":[18],"throughout":[19],"their":[20,276],"studies.":[21],"Slow":[22],"research":[23,37,86,251],"progress":[24,38,252],"among":[25],"these":[26],"students":[27,81,295],"has":[28],"become":[29],"a":[30,42,254],"recognized":[31],"concern.":[32],"In":[33],"this":[34,73],"study,":[35,122],"slow":[36,250],"is":[39,56,162],"conceptualized":[40],"as":[41,70,253,265],"phenomenon":[43],"arising":[44],"from":[45,193,221],"the":[46,76,89,117,155,167,189,219,302,307,314,317],"interplay":[47],"of":[48,121,157,215,228,304,316],"conditions":[49,91,258],"across":[50],"several":[51,261],"levels.":[52],"Its":[53],"observable":[54],"marker":[55],"sustained":[57],"delay":[58],"thesis-related":[60],"milestones.":[61],"Drawing":[62],"on":[63],"Role":[64],"Theory":[65,69],"and":[66,88,128,133,183,195,201,239,311,313],"Ecological":[67],"Systems":[68],"sensitizing":[71],"frameworks,":[72],"study":[74,99,161],"describes":[75],"challenges":[77],"that":[78,92,284],"encounter":[84],"progression":[87],"multilevel":[90],"shape":[93],"them.":[94],"Methods:":[95],"This":[96],"qualitative":[97],"descriptive":[98],"was":[100,152,231],"conducted":[101],"at":[102,212,260],"one":[103],"medical":[104],"university":[105],"China.":[107],"Fourteen":[108],"participants,":[109],"including":[110,140],"two":[111],"had":[113,243],"withdrawn":[114],"after":[115],"exceeding":[116],"maximum":[118],"permitted":[119],"duration":[120],"were":[123,144,178,208],"recruited":[124],"by":[125,210,234,240,257],"maximum-variation":[126],"purposive":[127],"snowball":[129],"sampling":[130],"between":[131,309],"October":[132],"December":[134],"2025.":[135],"Seventeen":[136],"semi-structured":[137],"interview":[138],"sessions,":[139],"three":[141],"supplementary":[142],"interviews,":[143],"analyzed":[145],"using":[146],"reflexive":[147],"thematic":[148],"analysis.":[149],"Sample":[150],"size":[151],"judged":[153],"against":[154],"concept":[156],"information":[158],"power.":[159],"The":[160,204,281],"reported":[163],"accordance":[165],"with":[166],"Consolidated":[168],"Criteria":[169],"for":[170,286],"Reporting":[171],"Qualitative":[172],"Research":[173],"(COREQ).":[174],"Results:":[175],"Five":[176],"themes":[177,207],"developed,":[179],"namely":[180],"role":[181],"conflicts":[182],"resource":[184],"depletion,":[185],"structural":[186],"barriers":[187],"within":[188],"microsystem,":[190],"insufficient":[191],"support":[192,248,285],"mesosystem":[194],"exosystem":[196],"levels,":[197],"macro-level":[198],"cultural":[199],"influences,":[200],"temporal-developmental":[202],"constraints.":[203],"first":[205],"four":[206],"described":[209],"participants":[211,235],"every":[213],"stage":[214],"candidature.":[216],"By":[217],"contrast,":[218],"sequence":[220],"interrupted":[222],"learning":[223],"through":[224],"deferral":[225],"to":[226,300],"loss":[227],"academic":[229],"confidence":[230],"elaborated":[232],"mainly":[233],"later":[237],"years":[238],"those":[241],"withdrawn.":[244],"Conclusion:":[245],"Participants'":[246],"accounts":[247],"treating":[249],"trajectory":[255],"shaped":[256],"operating":[259],"levels":[262],"rather":[263],"than":[264],"an":[266],"individual":[267,279],"trait":[268],"or":[269],"behavior.":[270],"Participants":[271],"themselves,":[272],"however,":[273],"sometimes":[274],"explained":[275],"difficulties":[277],"terms.":[280],"findings":[282],"indicate":[283],"postgraduate":[288],"learners":[289],"should":[292],"not":[293],"target":[294],"alone.":[296],"It":[297],"also":[298],"needs":[299],"address":[301],"organization":[303],"work,":[306],"coordination":[308],"hospital":[310],"university,":[312],"design":[315],"route.":[319]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-22T00:00:00"}