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Table 4 Top 5 barriers and facilitators at the item level

From: Multilevel barriers to guideline implementation: a nationwide multi-professional cross-sectional study within child and adolescent psychiatry

Item

Top 5 Barriers

(Fully) agree

n

%

5.

I wish to know more about the guideline before I decide to apply it.

(Provider knowledge and motivation)

261

61.6

21.

It is difficult to give care according to the guideline because

I am not trained in giving care according to the guideline

(Provider training)

181

45.1

4.

I did not truly read nor remember this guideline.

(Provider involvement)

98

24.0

15.

Working according to this guideline requires financial compensation.

(Context financial compensation)

70

19.6

23.

It is difficult to give care according to the guideline to

patients with different cultural background.

(Patient cultural background)

66

18.6

Item

Top 5 Facilitators

(Fully) disagree

n

%

6.

I have problems changing my old routines.

(Provider working style)

327

76.9

8.

I have a general resistance to working according to protocols.

(Provider role perception)

317

74.5

22.

It is difficult to give care according to the guideline

because I’m not involved in setting it up.

(Provider involvement)

234

58.6

11.

Managers do not cooperate in applying the guideline.

(Context managers support)

186

51.1

1.

This guideline leaves enough room

for me to make my own conclusion*

(Innovation flexibility)

187

49.2

  1. Note. Barriers were defined by collapsing the response category fully disagree with disagree for items ##1–3 + 16 and fully agree with agree for ##4–15, 21 − 13 and 25–26
  2. Facilitators were defined the opposite way around
  3. *Item 1 is reversed