Skip to main content

Table 4 Qualitative content analysis of key informant interviews—intervention 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

 Agreement that low tidal volume strategies are most appropriate for ARDS patient care

RT, P

LPV, CDS

L, M, H

 Perception that use of a protocol provides certain advantages when treating patients with ARDS

P

CDS

L, M, H

 Agreement that LPV CDS tool is easy to use once trained

RT, P

CDS

L, M, H

 Belief that use of the protocols reduces physician time on ventilation management activities

P

CDS

L, M, H

 Belief that LPV CDS tool use increases self-efficacy and confidence implementing an LPV strategy treating ARDS patients

RT

CDS

H

 No need for significant changes in the technology design of the LPV CDS tool

RT, P

CDS

L, M, H

Barrier

 Resentment to adopting a care process they did not assist locally in selecting and developing

RT, P

LPV, CDS

L, M

 Belief that LPV strategies can include initial tidal volume settings > 6.5 ml/kg PBW

RT, P

LPV

L

 Perception that patients sometimes cannot tolerate low tidal volumes (patient-ventilator dis-synchrony)

RT, P

LPV

L, M

 Belief that use of the tool increases time spent on documentation activities for each patient

RT

CDS

L, M

 Discomfort with specific instructions from the LPV CDS tool given patient’s circumstances

RT, P

CDS

L, M

 Perception that LPV CDS tool use does not facilitate a quick and efficient response to patient needs

RT

CDS

L, M

 Perception that it is not easier to initiate a low tidal volume setting using the LPV CDS tool versus no tool

RT

CDS

L, M, H

  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)