Saturation of data has been acknowledged by many social scientists as evidence of rigor in qualitative research. Though there is a consensus about its definition and usefulness in qualitative research, the methods for achieving saturation are scarce while the social scientists who mention data saturation in their research methodologies do not adequately describe how this is achieved. This paper describes a new method for achieving saturation in studies that use interviews. The method is called Comparative Method for Themes Saturation (CoMeTS). CoMeTS is comparative in two ways. First, all themes from all interviews are compared with each other. Second, the sequence of interviews is reordered multiple times in order to check saturation again. This is because the sequence of interviews during the check makes saturation vary and, therefore, reordering helps confirming saturation. This paper concludes that CoMeTS is a simple, comparative and holistic method for achieving saturation and that it can be used in complicated qualitative studies.

Background: With the increasingly demanding healthcare environment, patient safety issues are only becoming more complex. This urges nursing leaders to adapt and master effective leadership; particularly, transformational leadership (TFL) is shown to scientifically be the most successfully recognized leadership style in healthcare, focusing on relationship building while putting followers in power and emphasizing values and vision. Aim: To examine how transformational leadership affects nurses’ job environment and nursing care provided to the patients and patients’ outcomes. Design: A systematic literature review was conducted. From 71 reviewed, 23 studies were included (studies included questionnaire surveys and one interview, extracting barriers and facilitators, and analyzing using qualitative synthesis). Result: TFL indirectly and directly positively affects nurses’ work environment through mediators, including structural empowerment, organizational commitment, and job satisfaction. Nurses perceived that managers’ TFL behavior did not attain excellence in any of the included organizations, highlighting the necessity for additional leadership training to enhance the patient safety culture related to the non-reporting of errors and to mitigate the blame culture within the nursing environment. Conclusion: Bringing more focus to leadership education in nursing can make future nursing leaders more effective, which will cultivate efficient teamwork, a quality nursing work environment, and, ultimately, safe and efficient patient outcomes. This study was not registered.

The purpose of this study was to investigate the impact of a simulation‐based learning environment on elementary school students’ (11–12 years old) development of system thinking skills. The learning environment included interactive simulations using the Stagecast Creator software to simulate the ecosystem of a marsh. Simulations are an important tool in any effort to develop system thinking, because they have the potential to highlight the dynamic nature of systems. Before the implementation of the learning environment (over a period of five 90‐min lessons) two written tests were administered to the students, investigating the development of seven aspects of system thinking. The same tests were administered after the implementation. Specifically, four of the tasks included in each test were associated with skills concerning the structure and the elements of a system and three were associated with the processes and interactions taking place within a system. The findings indicated that elementary school students have the potential to develop system thinking skills. The proposed learning environment provoked considerable improvements in some system thinking skills during a relatively brief learning process. However, the learning environment was not successful in promoting feedback thinking. We interpret these results in view of the difficulties encountered by the students. We also discuss the implications of our findings for the design of learning environments.

We compare the effect of experimenting with physical or virtual manipulatives on undergraduate students’ conceptual understanding of heat and temperature. A pre–post comparison study design was used to replicate all aspects of a guided inquiry classroom except the mode in which students performed their experiments. This study is the first on physical and virtual manipulative experimentation in physics in which the curriculum, method of instruction, and resource capabilities were explicitly controlled. The participants were 68 undergraduates in an introductory course and were randomly assigned to an experimental or a control group. Conceptual tests were administered to both groups to assess students’ understanding before, during, and after instruction. The result indicates that both modes of experimentation are equally effective in enhancing students’ conceptual understanding. This result is discussed in the context of an ongoing debate on the relative importance of virtual and real laboratory work in physics education.