“…Flanagan and his colleagues developed CIT squarely within the positivist paradigm of the time (Butterfield et al, 2005), though it has subsequently been adapted into a qualitative approach designed to capture the perspectives of study participants themselves (MacNeela, Gibbons, McGuire, & Murphy, 2010; Norman, Redfern, Tomalin, & Oliver, 1992; Propp et al, 2010; Williamson, Koro-Ljungberg, & Bussing, 2009). In this qualitative iteration of the approach, interviewers ask participants to reflect on significant or memorable happenings or problematic situations in their lives; these reflections are then often used to try to resolve or prevent similar future episodes (Halquist & Musanti, 2010). This orientation gained particular currency in health care settings as a quality improvement technique for highlighting best practice behaviors as well as negative incidents that might have been handled differently (Avraham, Goldblatt, & Yafe, 2014; Gotlib Conn et al, 2009; Kemppainen, 2000; MacNeela et al, 2010; Scott, Estabrooks, Allen, & Pollock, 2008; Wolf & Zuzuelo, 2006).…”