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Participants were recruited through purposive and snowball sampling. The survey was disseminated internationally, was available in English and French, and remained open for 6 weeks (15 October to 30 November 2022).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis<\/jats:title>\n                    <jats:p>Descriptive statistics were used to describe the characteristics and experiences of stakeholders. Thematic analysis was used to analyse the open-text questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 47 participants who responded to the survey, 94% were from Canada, 4% from the USA and 2% from Australia. Respondents represented academic institutions (57%), health agency\/government (32%) and non-government organisations or agencies (11%). Three themes were identified: (a)\n                      <jats:italic>having a sense of value and utility<\/jats:italic>\n                      ; (b)\n                      <jats:italic>experiencing uncertainty and confusion<\/jats:italic>\n                      ; and (c)\n                      <jats:italic>seeking guidance<\/jats:italic>\n                      . The data suggest stakeholders found value and utility in ESs and conducted them for varied purposes including to: (a) enhance knowledge, understanding and learning about the current landscape or state of various features of health services delivery (eg, programmes, practices, policies, services, best practices); (b) expose needs, service barriers, challenges, gaps, threats, opportunities; (c) help guide action for planning, policy and programme development; and (d) inform recommendations and decision-making. Stakeholders also experienced conceptual, methodological and practical barriers when conducting ESs, and expressed a need for methodological guidance delivered through published guidelines, checklists and other means.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ESs have value and utility for addressing health services delivery concerns, but conceptual and methodological challenges exist. Further research is needed to help advance the ES as a distinct design that provides a systematic approach to planning and conducting ESs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-075374","type":"journal-article","created":{"date-parts":[[2024,2,3]],"date-time":"2024-02-03T01:25:14Z","timestamp":1706923514000},"page":"e075374","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["\u2018Snapshot in time\u2019: a cross-sectional study exploring stakeholder experiences with environmental scans in health services delivery research"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4397-1419","authenticated-orcid":false,"given":"Patricia","family":"Charlton","sequence":"first","affiliation":[{"name":"Adjunct Faculty, Faculty of Nursing, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8089-589X","authenticated-orcid":false,"given":"Daniel A","family":"Nagel","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Manitoba Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rima","family":"Azar","sequence":"additional","affiliation":[{"name":"Psychology Department, Mount Allison University, Sackville, New Brunswick, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0211-3055","authenticated-orcid":false,"given":"Terri","family":"Kean","sequence":"additional","affiliation":[{"name":"Faculty of Nursing (Retired), University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6542-9949","authenticated-orcid":false,"given":"Alyson","family":"Campbell","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Eve","family":"Lamontagne","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Laval University, Quebec city, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6070-6238","authenticated-orcid":false,"given":"Julien","family":"D\u00e9ry","sequence":"additional","affiliation":[{"name":"Interdisciplinary Center for Research in Rehabilitation and Social Integration, Laval University, Quebec city, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5405-255X","authenticated-orcid":false,"given":"Katherine Jennifer","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Fahim","sequence":"additional","affiliation":[{"name":"St Michael\u2019s Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,2,2]]},"reference":[{"key":"2025121408550787000_14.2.e075374.1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-050284","article-title":"Use of environmental scans in health services delivery research: a scoping review","volume":"11","author":"Charlton","year":"2021","journal-title":"BMJ Open"},{"key":"2025121408550787000_14.2.e075374.2","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20210004"},{"key":"2025121408550787000_14.2.e075374.3","unstructured":"World Health Organization . 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