114 Chapter 7 NM Sessions The NM sessions were conducted at the Gelre Hospitals, the Netherlands from June 2022-September 2022 and were led by three researchers (MM, HE, RL). One researcher (RL) took notes during the sessions. A NM-trained facilitator (MM) began the NM session with a general introduction to NM goals and principles and a basic outline for close reading (9). NM interventions typically involve three steps: first, participants encounter and analyze a narrative or artwork; second, they write a creative and self-reflective piece prompted by this encounter; third, they share their writing and observations with each other (21, 32). We used this method in our sessions as well. Due to the limited time of one hour we decided to focus on cantos 1 (language) and 2 (gender) in ‘Male unless otherwise indicated’ during the NM session. HE and MM read them out loud. Predetermined discussion topics were related to the role language plays in our interpretation of others’ stories, the potential bias of certain word choices, and the impact of gender on professional and personal interactions. The writing prompt was inspired by the final stanza of the second canto: ‘I demand a brand-new language, one that doesn’t turn my words against me’. Participants were asked to write a reflection about a personal or professional experience that started with final the words of the second cantos ‘I demand that..’. During the last 5 minutes of each NM session participants were invited to share their thoughts and suggestions about the session format and content. After each session, the researchers (MM, HE, RL) debriefed and added their discussion note to the session notes. All participants were invited to submit their anonymous written reflections after the NM session; 36 anonymous written reflections were collected. Semi-structured interviews Six weeks after the last NM session, all participants were contacted by one of the researchers via e-mail (EL) to ask if they were willing to participate in a semi-structured telephone interview. Fourteen of the 38 participants agreed to be interviewed. The goal of the interviews was to learn more about participants’ experiences of the site-specific poem, recommendations for future narrative medicine training, and general feedback. All interviews lasted approximately 30 minutes and were audiotaped and transcribed verbatim (See S2 File for the topic list). Data analysis The written reflections and interview transcripts were analyzed using the 6-step reflexive thematic analysis approach as outlined by Braun and Clarke (45). First, HE and MM familiarized themselves with the written reflections and interview transcripts by reading them several times gain an overview of the most salient topics. Next, HE and MM independently generated codes based on their interpretations of the dataset (12, 46, 47). They then met to compare their codes. Together they categorized their codes into three overarching themes (in accordance with the step defining and naming themes according to Braun and Clarke). One researcher (HE) then reread and recoded the dataset using the combined code tree (Table 2). Finally, HE and MM drafted their report of the findings together. They shared drafts with the other co-authors, who provided further feedback.
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