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Table 2 Results of the statements on the determinants of guideline adherence (N = 57)

From: Reducing work pressure and IT problems and facilitating IT integration and audit & feedback help adherence to perioperative safety guidelines: a survey among 95 perioperative professionals

Category Statement on perceived barriers Agree % Disagree % B
S My direct supervisors expect me to apply the perioperative guidelines. 91.8 0.0  
O Working according to the guidelines is checked in my hospital. 89.8 10.2  
P I find it important to improve patient safety with the perioperative guidelines. 85.7 3.1  
P I have the knowledge to use the perioperative guidelines. 83.8 4.0  
I The guidelines clearly indicate which activities I have to perform and in which order. 81.0 4.0  
S The majority to (almost) all healthcare providers in my hospital really work according to the perioperative guidelines. 79.1 7.7  
S My colleagues expect me to apply the perioperative guidelines. 78.6 2.0  
I I feel (very) positive about guidelines in general. 78.3 3.3  
I I (totally) agree to the content of the guidelines.a 78.0 8.0  
S I can count on sufficient support and involvement from the management by applying the perioperative guidelines. 78.0 3.0  
P My hospital puts a lot of efforts into the improvement of patient safety along the implementation of the perioperative guidelines. 76.2 1.0  
S There is enough support in my discipline to work according to the perioperative guidelines. 75.8 4.0  
P I expect patient safety to increase with the perioperative guidelines. 75.8 6.1  
Sy The fact that safety stands high on the social agenda is for me (definitely) of influence on the use of the perioperative guidelines.b 74.7 10.1  
S When it comes to the use of the perioperative guidelines, I care about my direct supervisor’s opinion. 73.2 5.2  
I I find the guidelines easy to use. 71.1 9.3  
IP There are enough interventions undertaken to put the perioperative guidelines on the hospital agenda. 71.1 27.8  
IP It is clear to me who is in charge with respect to the implementation of the perioperative guidelines in my department. 70.5 25.0  
I The perioperative guidelines are based on sound and sufficient evidence.a 70.4 7.1  
Sy A visit by the Inspectorate affects working according to the perioperative guidelines. 69.4 9.2  
S The cooperation with other disciplines or between departments regarding the execution of the perioperative guidelines is (very) good. 68.1 1.1  
P The perioperative guidelines match with current or previous hospital initiatives related to patient safety. 67.0 0.0  
IP There is a perioperative opinion leader within my discipline.b 65.2 34.8  
IP My hospital pays a lot of attention to the implementation of the perioperative guidelines. 63.6 4.0  
I The perioperative guidelines leave enough room for personal interpretation and adaptation to the specific needs of the department and discipline.a 63.0 23.9  
I The perioperative guidelines provide all the information and materials needed to work with them. 62.6 11.1  
P I am able to follow the guidelines, even when I am busy or my colleagues do not comply (i.e. in stressful circumstances). 62.5 2.1  
S My direct supervisors set a good example by working according to the guidelines. 62.2 1.0  
I The guidelines fit well with how I was used to work before. 61.9 11.3  
P Working according to the perioperative guidelines is advantageous.a 61.5 5.5  
PA When it comes to the use of the perioperative guidelines, I care about the opinion of my patients. 61.5 13.5  
IP I feel sufficiently involved into the implementation of the perioperative guidelines within my hospital. 61.2 14.3  
P Working according to the perioperative guidelines does not take a lot of time at the expense of the patients. 60.2 10.2  
P Working according to the guidelines does not affect my clinical freedom and autonomy. 60.0 10.5  
O I have easy access to information about the use of perioperative guidelines in my hospital. 59.0 15.0  
O I receive sufficient materials and facilities to be able to use the perioperative guidelines as intended. 58.8 13.4  
O In my hospital there is sufficient manpower to be able to use the perioperative guidelines as intended. 56.7 12.4  
O Steps are taken in case of not working according to the perioperative guidelines. 56.2 43.8  
O I receive regular feedback about perioperative incidents and complications from my hospital.b 56.1 13.3  
P The tasks and responsibilities regarding the perioperative guidelines are known to all employees. 54.1 18.4  
I The effects of using the guidelines are clearly visible. 51.0 19.8  
S Everyone takes their responsibility when it comes to working safely; thus, actually addressing each other in unsafe situations and guideline non-adherence. 51.0 15.0  
S When it comes to the use of the perioperative guidelines, I care a lot about the opinion of my colleagues. 49.0 18.4 V
O Steps are taken in my hospital so that new employees get sufficiently trained in the use of the perioperative guidelines.b 47.4 12.4 V
PA Patients definitely expect me to apply the perioperative guidelines. 46.4 7.2 V
O In my hospital there are sufficient financial resources available to be able to use the perioperative guidelines as intended.b 46.3 9.5 V
S It is not difficult to bring the entire team together to carry out a stop moment.b 45.1 14.3 V
I I do not find it difficult to adjust my daily routines and way of working according to the guidelines. 44.3 11.4 V
O The results of working according to the perioperative guidelines in terms of patient safety (e.g. mortality or complications) are evaluated. 44.0 56.0 V
S Colleagues always set a good example by applying the guidelines. 43.9 4.1 V
S I never experience (social) pressure not to work according to the perioperative guidelines.a 39.1 6.5 V
O My hospital provides me with sufficient time to integrate the perioperative guidelines in my daily work. 36.7 20.4 V
P There is no perioperative safety problem in my hospital. 35.0 26.0 V
S In my hospital is an open contact culture, in which everyone dares to speak up to each other about his or her actions and behavior and this is also accepted by everyone. 32.7 33.7 V
P Everyone agrees with the distribution of tasks and responsibilities with regard to perioperative care. 31.6 13.3 V
P Working according to the perioperative guidelines does not take a lot of time, at the expense of production.a 29.5 25.3 V
P Working according to the perioperative guidelines does not lead to increased work pressure.b 21.1 35.6 V
  1. I intervention characteristics, Sy societal context, IP implementation characteristics, O organizational characteristics, S social context, P professional characteristics, PA patient characteristics, B barrier
  2. aAnswer influenced by perioperative discipline
  3. bAnswer influenced by hospital type