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Table 3 Qualitative content analysis of key informant interviews—individual Consolidated Framework for Implementation Research domain

From: Multi-factorial barriers and facilitators to high adherence to lung-protective ventilation using a computerized protocol: a mixed methods study

Qualitative content analysis themes Clinician type Relevant topic Site adherence
Facilitator
 Ability to describe factors associated with the diagnosis of ARDS. P LPV M, H
 Detection of ARDS is not required to initiate low tidal volume or the protocols. P LPV, CDS L, M, H
 High confidence in the ability to use the underlying LPV CDS tool technology for patient care. RT, P CDS L, M, H
 Intent to use LPV and the LPV CDS tools RT, P LPV, CDS L, M, H
Barrier
 Difficulty detecting low-to-moderate or developing ARDS in patients. P LPV L, M, H
 Return to alternative ventilation and oxygenation strategies that they have been successfully using in the past. RT, P LPV L, M
 Uncertain regarding the purpose and use of each of the four protocols in clinical care. RT CDS L, M
 Uncertain when its acceptable to depart from protocol recommendations. RT CDS L, M
  1. Clinician type—respiratory therapist (RT) and physician (P); relevant topic—lung-protective ventilation (LPV) and clinical decision support (CDS) tool; site adherence—low (L), medium (M), and high (H)
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Implementation Science Communications

ISSN: 2662-2211