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 |