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Table 1 Overview of the number of explored and encountered barriers

From: Barriers encountered during the implementation of a policy guideline on the vaccination of health care workers during the 2013–2014 measles outbreak in the Netherlands: a qualitative study

Category Barrier Number of participants
Barriers related to knowledge and attitude Lack of agreement [18] 10
Leadership [19] 7
Issues related to evidence-based decision making [new] 6
Communication [19] 4
Unclear division of labour [19], based on “teamwork” [19] 3
Lack of outcome expectancy [18] 2
Inertia of previous practice [18] 1
Lack of awareness [18] 0
Lack of familiarity [18] 0
Lack of self efficacy [18] 0
Total endorsements in this domain 33
Total number of explored barriers in this domain 10
Total number of encountered barriers in this domain 7
Barriers related to characteristics of the guideline Unclear guideline content [new] 10
“Crucial instructions within control measures (concerning isolation, diagnostics, and treatment) are not clear or easily identifiable for each profession” [20] 4
Unclear phrasing of the guideline [new] 3
“Control measures are worded with insufficient urgency or definition” [20] 2
“Lack of concrete targets for performance to measure the effectiveness of the measures” [20] 0
“Measures regarding the use of personal protective equipment are inadequate or not timely” [20] 0
Total endorsements in this domain 19
Total number of explored barriers in this domain 6
Total number of encountered barriers in this domain 4
Barriers related to contextual and social factors Barriers related to timing [17, 18] 7
Barriers related to finances and (high) working pressure [18] 6
Barriers related to physical aspects [18] 6
Lack of clear national views on vaccination policies [new] 5
Presence of multiple guidelines [new] 3
Barriers related to (hospital) culture [19] 2
Total endorsements in this domain 29
Total number of explored barriers in this domain 6
Total number of encountered barriers in this domain 6
Total number of barriers explored 22
Total number of barriers encountered by participants 17
  1. Barriers explored and encountered by the participants (n = 12). The reference is provided between brackets