Table
3: Description of Attitudes and External Factors
described by ED providers.
|
BFAI |
Barrier N (%) |
Additional Items |
Barrier N (%) |
Provider Attitudes |
Group norms of manager/director |
180 (78%) |
Work stress |
105 (46%) |
|
Group norms of fellow colleagues |
154 (67%) |
Knowledge needed |
19 (18%) |
Group norms of other colleagues |
150 (65%) |
Outcome expectation |
38 (17%) |
|
Knowledge, Motivation |
127 (55%) |
Taking ownership |
25 (11%) |
|
Lack of Involvement |
93 (40%) |
Skills needed |
9 (4%) |
|
Involvement with ACEP Policy |
93 (40%) |
Confidence needed |
6 (3%) |
|
Changing routines/working style |
45 (19%) |
Malpractice liability |
5 (2%) |
|
Training/Education |
30 (13%) |
|
|
|
Resistance to working with protocols |
9 (4%) |
|
|
|
Doubts about innovation |
11 (5%) |
|
|
|
External Factors |
|
|
|
|
Patient Factors |
Patients motivation to change |
138 (60%) |
Lack of patient awareness |
169 (74%) |
Age |
91 (41%) |
Financial burden |
146 (65%) |
|
Ethnicity |
81 (35%) |
Causing discomfort |
78 (34%) |
|
# of patient contacts |
64 (28%) |
Patient doubt for provider concern |
41 (18%) |
|
Financial situation, SES |
59 (26%) |
|
|
|
Seem healthy/asymptomatic |
49 (21%) |
|
|
|
Guideline Factors |
Attractiveness |
123 (53%) |
Outcome expectation |
11 (5%) |
Flexibility |
56 (24%) |
Expertise of staff |
37 (16%) |
|
Time Investment |
17 (7%) |
|
|
|
Compatibility |
14 (6%) |
|
|
|
Organizational Factors |
Instrument availability |
206 (90%) |
Reinforcement by management |
175 (76%) |
Supportive staff |
194 (84%) |
Administrative support |
155 (67%) |
|
Space |
162 (70%) |
Organizational relationship |
155 (67%) |
|
Timing |
130 (57%) |
Financial resources |
132 (57%) |
|
Reimbursement, insurance system |
56 (24%) |
Formalized ACEP Policy |
120 (52%) |
|
|
|
Medical director influence |
109 (47%) |
|
|
|
Task oriented |
107 (47%) |
|
|
|
Staff turnover |
95 (41%) |
|
|
|
Staff |
83 (36%) |
|
|
|
Logistical problems |
79 (34%) |
|
|
|
Involvement |
10 (4%) |