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(21,24,25,27)Tj
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[(transcribed)-482.1(by)-480.3(a)-480.3(doctoral)-483.7(student)-481.2(with)-477.8(formal)-481.4(training)-482.6(in)]TJ
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[(qualitative)-356.1(resear)-9.8(ch.)-352.4(Participant)-355.8(names)-360.2(were)-353.2(removed)-356.8(from)]TJ
T*
[(transcriptions)-484.4(to)-480.4(maintain)-479.3(condentiality.)-483.6(In)-480.2(addition,)-480.3(the)]TJ
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[(anonymity)-300.6(of)-295.9(employee)-295.9(responses)-299.6(was)-298.9(protected)-301.6(by)-295.9(exclud-)]TJ
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[(ing)-331.7(personal)-333.6(identiers)-335.9(\(age,)-338.4(race,)-333.8(ethnicity\))-336.4(from)-328.1(data)-335.2(col-)]TJ
T*
[(lection.)-324.9(Transcripts)-326.5(were)-318.6(imported)-322.5(into)-321.4(NVivo)-324.2(11,)-316.7(and)-321.2(data)]TJ
T*
[(were)-422.3(analyzed)-422.5(using)-420.1(a)-417(contextualist)-421.4(method)-418.1(of)-422.6(qualitative)]TJ
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[(content)-298.3(analysis.)-302.4(A)-301.5(content)-298.3(analysis)-299(involves)-298(the)-298.3(systematic)]TJ
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[(classication)-312.7(of)-301.7(text)-305.3(data)-306.4(into)-298.4(categories)-309.4(that)-305.3(represent)-307(sim-)]TJ
T*
[(ilar)-455(meanings.)]TJ
7.3823 0 0 6.5614 120.0189 593.1778 Tm
(28)Tj
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[(The)-449.2(contextualist)-461.8(method)-452.6(focuses)-453.1(on)-451.5(the)]TJ
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[(characteristics)-219.4(of)-215.3(the)-211.9(language)-214(and)-211.8(the)-217.7(contextual)-216.5(meaning)-213(of)]TJ
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[(the)-286.8(text)-288.1(to)-290.3(formulate)-290.1(codes)-289.9(and)-286.7(identify)-286.8(themes.)]TJ
7.3823 0 0 6.5614 252.7936 571.2377 Tm
(29)Tj
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[(First,)-285.3(two)]TJ
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[(research)-474(team)-474.6(members)-473(independently)-473.2(reviewed)-474(the)-471.1(tran-)]TJ
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[(scripts)-227.6(to)-221.2(identify)-223.4(themes.)-226.6(Then,)-223.3(data)-225.7(codes)-220.7(were)-226.4(reviewed)-226.4(in)]TJ
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[(pairs)-369.4(with)-368.4(discrepant)-365.9(codes)-370.5(initially)-369(reconciled)-367.2(at)-366.4(the)-367.5(dyad)]TJ
T*
[(level.)-247.7(Data)-243.9(codes)-243.8(that)-242(could)-242.9(not)-245.3(be)-245.3(reconciled)-246.3(at)-239.6(a)-244.2(dyad)-247.5(level)]TJ
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[(were)-456.8(presented)-456.8(to)-451.6(the)-453.8(larger)-458.3(research)-456.7(team)-457.3(for)-452.5(consensus)]TJ
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[(coding.)-391.5(Informed)-391.3(by)-388.1(the)-390.5(socioecological)-391.3(approach,)-395.8(themes)]TJ
T*
[(were)-307.1(mapped)-303.9(to)-307.6(four)-303.8(ecological)-304(levels)-308.5(\(individual,)-305.2(interper-)]TJ
T*
[(sonal,)-453.5(departmental,)-454.9(and)-448(organizational\),)-457(using)-448.9(denitions)]TJ
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[(based)-767.9(on)-762.5(prior)-765.9(research)-773.5(on)-762.5(workplace)-768.9(lactation)-768.4(sup-)]TJ
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(port.)Tj
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(24,25,27)Tj
9.843 0 0 9.843 109.0204 457.2849 Tm
[(The)-287.9(individual)-283.4(level)-284.6(included)-282.1(personal)-287.5(attitudes,)]TJ
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[(beliefs,)-295.7(and)-292.4(experience)-11.2(s.)-292.3(The)-293.6(interpersonal)-294.4(level)-296.1(focused)-297.8(on)]TJ
0 -1.1174 TD
[(relationships)-471.8(among)-474.4(coworkers.)-471.3(The)-466.4(department)-476.7(level)-468.9(fo-)]TJ
0 -1.1116 TD
[(cused)-410.8(on)-405.4(the)-407.8(immediate)-407.9(workplace)-411.8(environment)-407.6(\(structure)]TJ
T*
[(and)-401.9(function)-401.9(of)-399.6(the)-402(unit\))-403.2(and)-396.1(department-specic)-413.9(policies,)]TJ
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[(whereas)-489.9(the)-482.6(organizational)-487.1(level)-486.1(focused)-482.1(on)-486(system-wide)]TJ
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T*
[(coefcient)-286.4(of)-278.6(0.84.)]TJ
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(Results)Tj
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[(A)-307.2(total)-306.6(of)-313.2(35)-307.5(employees)-302.6(participated)-306.3(in)-307.6(the)-309.9(focus)-305.9(groups.)]TJ
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T*
[(and)-448(nonclinical)-448.1(roles)-450.1(\(administ)10.6(rative,)-450.3(operations,)-443(manage-)]TJ
T*
[(ment,)-350.2(accounting,)-352.3(and)-355.8(facilitie)9(s)-358(management/m)7(aintenance\).)]TJ
25.504 43.0884 TD
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[(A)-6.2(p)-5.3(pr)-5.3(ox)-5.3(im)-6.5(at)-5.4(el)-5.4(y)-333.6(5)-5.3(0%)-334.7(\()]TJ
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[(17)-5.4(\))-333.7(h).3(a)-6.6(d)-333.7(br)-5.4(ea)-6.6(st)-5.5(f)-5.4(e)-.8(e)-6.6(d).3(i)-5.5(n).3(g)-333.7(e)-6.6(xp)-5.4(er)-5.4(i)-5.6(e)-.8(n)-5.4(c)-.8(e)]TJ
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[(whi)5.2(l)-.5(e)-168.6(w)4.5(ork)5.3(in)5.3(g)-167.4(w)-1.3(it)5.2(hi)5.2(n)-167.4(t)-.5(he)-168.6(h)5.3(e)-1.6(alth)-167.4(car)5.4(e)-168.6(sys)5.5(t)-.5(em.)-169.8(A)4.5(pp)5.3(ro)5.3(ximat)5.2(e)-1.6(l)5.2(y)]TJ
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[(25%)-369.7(\()]TJ
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(n)Tj
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[(6\))-293.3(we)-6.5(re)-294.5(ma)-6.5(le)-6.5(s)-5.1(.)]TJ
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T*
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T*
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T*
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T*
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[(worried)-327.8(that)-333.7(su)7.4(ch)-333.5(co)7.4(nversation)-327.8(w)-.3(ould)-327.8(r).6(esult)-327.9(i).4(n)-333.5(t).4(h)7.4(e)-335.8(perc)7.4(ep-)]TJ
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[(FIG.)-284.9(1.)]TJ
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[(Factors)-285.5(relevant)-288.2(to)-284.3(workplace)-289.8(lactation)-283.8(support)-283.3(in)-284.3(the)-286.5(health)-285(care)-289.6(setting)-284.9(from)-281.5(a)-284.3(socioecological)-291.9(perspective.)-289.8(The)]TJ
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