Integrated themes	Themes	Perceptions (Attitudes)			Lived experiences (Performance)
		Main Concept	Concept	Codes	Main Concept	Concept	Codes
Convergent	Cultural diversity	Trust	Belief	Religious statement at the present time in Sweden vs. Iran	Trust	Delivering bad news as a form of professionalism and patient rights   Lack of giving direct Breaking bad news to patient   Do not tell the truth regarding sickness	Beliefs Professionalism Patient rights Preserve patient dignity
			Patient value   Patient respect   Religious respect	Importance of considering patient value   Exaggeratedly doctor respect   Wearing hijab and religious manner		Considering human beings in a different culture	Ethics and values Patient appearance Religious Gender
		Inter- personal interaction	Inappropriate communication	Verbal: Lack of greeting   Nonverbal: Lack of eye contact and physical touch Lack of physical movement	Interpersonal interaction	Verbal: Language barrier Shortage of interpreter Common language barrier   Nonverbal: Body language	Inappropriate communication
		Context	Sociocultural situation	Distance between the doctor and the patient, a table placed between them	Doctor Dominancy	Patient not convinced Doctor centeredness considered as a dominant strategy about 60 years ago in Sweden	Patient convinced Historical background

Int J Med Educ. 2020; 11:158-168; doi: 10.5116/ijme.5f19.5749