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

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

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

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)

ISSN: 2662-2211