Table 3.

Participant Quotes Within the Subjective Norms and Perceived Behavioral Control Constructs

Construct	Theme	Illustrative Quotes	Provider
Subjective norms	Wide variety of influences	“Professionally, we do have evidence practice guidelines we follow for disease management prevention, but also I do rely upon my own personal faith in how I would manage patients.”	ED nurse practitioner
		“My coworkers, my family, my friends, my children…I take influences from everybody I come in contact with.”	ED nurse
		“You’re influenced by the system you work in, and the policy and procedures that are in place there. You’re influenced greatly by the patients themselves.”	Adolescent clinic physician
		“I don’t think there’s anybody that influences me. I kind of have my own way.”	ED nurse
Perceived behavioral control	Time constraints	“I think if you’re going to have a discussion with an adolescent about sexual behavior that is going to be meaningful, it takes a little while.”	ED physician
		“That [sexual health care] should be done in a primary care office. They have time to talk with the patient, they have time to develop a relationship, which is key for sexual problems, and we don’t.”	ED physician
	Parental presence is a barrier	“Parents at the bedside can be a barrier. I think it’s difficult for us as nurses, especially when the laws aren’t very clear cut.”	Adolescent clinic nurse
	Provider discomfort	“Providers that don’t want to deal with teenagers at all, but particularly on issues relating to below the belt. Reproductive health issues are just not comfortable for a lot of people.”	ED physician
		“From talking to female adolescents, they feel uncomfortable, at least that’s my impression, with me [a male] talking about that subject.”	ED physician
	Lack of knowledge	“I don’t think we have all the teaching tools, also. Maybe our knowledge is limited.”	ED nurse practitioner