Table 1 Overview of the number of explored and encountered barriers
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 | |
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 | 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 | |