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%)