Table 3.
Ranka | Salient beliefs | n (%)b | Verbatim example | |
Behavioral belief (n = 15) | ||||
Perceived advantage | ||||
1 | Gives rapid access to protocols | 16 (16%) | “immediately available” | |
2 | Improves quality of care | 15 (15%) | “enhances the quality of care” | |
3 | Gives access to a regularly updated protocol | 12 (12%) | “always up-to-date” | |
4 | Standardizes practices | 9 (9%) | “everyone uses the same procedure” | |
5 | Promotes team work | 8 (8%) | “enables a multidisciplinary approach” | |
6 | Centralizes information and protocols | 6 (6%) | “able to consolidate the information” | |
7 | Gives access to evidence-based data | 6 (6%) | “based on evidence” | |
8 | Provides a new tool for teaching | 6 (6%) | “facilitates education” | |
Perceived disadvantage | ||||
None perceived | ||||
Total | 78/101 (77%) | |||
Normative belief (n = 17) | ||||
Referents perceived as favorable | ||||
1 | Physicians | 19 (14%) | “physicians” | |
2 | Respiratory therapists | 18 (13%) | “respiratory therapists” | |
3 | Nurses | 16 (12%) | “nurses” | |
4 | The younger generation | 13 (9%) | “young people” | |
7 | The trauma team | 9 (7%) | “any professional working in the trauma bay with a [traumatic brain injury]” | |
8 | Quality-of-care promoters | 9 (7%) | “clinical coordinator” | |
10 | Administrationc | 7(5%) | “general management” | |
Referents perceived as unfavorable | ||||
5 | People less comfortable with computers | 11 (8%) | “those with less computer skills” | |
6 | People resistant to change | 11 (8%) | “people less favorable to change” | |
Total | 113/137 (82%) | |||
Control belief (n = 31) | ||||
Perceived facilitating factor | ||||
1 | Having a bedside computer | 20 (12%) | “have the computer close at hand” | |
2 | Peer-reviewed high-quality scientific information | 13 (8%) | “who ensures that the information is good” | |
3 | Trialabilityd | 12 (7%) | “must have training” | |
4 | Ease of used | 11 (7%) | “simple, instinctive system” | |
8 | Publicity about the wiki | 7 (4%) | “should be publicized” | |
9 | Secure website | 7 (4%) | “secure system” | |
12 | Having a workstation for every profession | 5 (3%) | “each having a workstation” | |
14 | Quality of visual design | 5 (3%) | “simple presentation” | |
Perceived barrier | ||||
5 | Undetermined legal responsibility | 10 (6%) | “must know if the hospital endorses it” | |
6 | Time constraintsd | 10 (6%) | “we must act, no time to go look” | |
7 | System reliability | 7 (4%) | “if the computer crashes” | |
10 | The whole team not being up-to-date | 6 (4%) | “if people are not up-to-date, could be difficult to apply it” | |
11 | Cost of computers | 6 (4%) | “the budget” | |
13 | Mandatory use | 5 (3%) | “it’s not because one center does it that way, that everybody should adopt that practice” | |
Total | 124/162 (77%) |
a The rank number corresponds to the position held in the ranking of all beliefs. The most frequently mentioned belief is ranked first. The ranking numbers do not necessarily follow each other in this table, since we grouped them as advantages, disadvantages, favorable referents, unfavorable referents, barriers, and facilitators. These rank numbers correspond to their position in Figures 3 to 8.
b n = the number of participants who reported the belief during their interview, and % = the number of times the belief was reported in all interviews divided by the number of times all beliefs in that category (behavioral, normative, and control beliefs) were reported in all interviews.
c This belief was not mentioned in the top 75% most frequently reported but was retained nonetheless.
d The label for this belief was taken from the Gagnon et al framework [62].