Perceived barriers | Key recommendations (N = 56) | Clinical guidelines (N = 12) | ||
---|---|---|---|---|
 | N | % | N | % |
Knowledge | 26 | 46 | 10 | 83 |
Lack of knowledge | 26 | 46 | 10 | 83 |
   Lack of awareness/familiarity | 26 | 46 | 10 | 83 |
Attitude | 51 | 91 | 12 | 100 |
Lack of agreement with guideline recommendation | 38 | 68 | 12 | 100 |
   Interpretation/lack of evidence** | 13 | 23 | 9 | 75 |
   Lack of applicability | 32 | 57 | 12 | 100 |
Lack of self-efficacy | 11 | 20 | 8 | 67 |
Lack of outcome expectancy | 17 | 30 | 10 | 83 |
Inertia of previous practice/lack of motivation | 15 | 27 | 8 | 67 |
Behaviour | 46 | 82 | 12 | 100 |
Patient factors | 22 | 40 | 11 | 92 |
   Patients preferences/demands | 14 | 25 | 9 | 75 |
   Patients ability/behaviour** | 11 | 20 | 8 | 67 |
Guideline recommendation factors | 24 | 43 | 11 | 92 |
   Unclear/ambiguous** | 18 | 32 | 11 | 92 |
   Incomplete/not up to date** | 8 | 14 | 4 | 33 |
   Not easy to use/too complex** | 3 | 5 | 3 | 25 |
Environmental factors | 29 | 52 | 12 | 100 |
   Lack of time/time pressure | 7 | 13 | 5 | 42 |
   Lack of resources/materials | 7 | 13 | 5 | 42 |
   Organisational constraints | 20 | 36 | 11 | 92 |
   Lack of reimbursement | 2 | 4 | 2 | 17 |