Table 4:

Contextual Factors: Top Barriers Reported by Units, Overall and by State

All Units (n=43)		State 1 (n=23)		State 2 (n=20)
Barrier	Percent	Barrier	Percent	Barrier	Percent
Competing priorities	58.1	Competing priorities	47.8	Competing priorities	70.0
Data collection burden	48.8	Data collection burden	43.5	Data collection burden	55.0
Not enough time	39.5	Not enough time	39.1	Staff turnover on unit	45.0
Data system problems	32.6	Data system problems	26.1	Confusion on CUSP	40.0
Staff turnover on unit	27.9	Leader support - exec	13.0	Not enough time	40.0
Leader support - MDs	18.6	Leader support - MDs	13.0	Data system problems	40.0
Confusion on CUSP	18.6	Staff turnover on unit	13.0	Leader support - MDs	25.0
Poor buy-in- MD staff	16.3	Knowledge of evidence	8.7	Turnover CUSP team	25.0
Turnover CUSP team	14.0	Poor buy-in- MD staff	8.7	Poor buy-in- MD staff	25.0
Leader support - exec	9.3	Lack team agree on goals	4.3	Lack team agree on goals	15.0
Lack team agree on goals	9.3	Turnover CUSP team	4.3	Poor team teamwork	15.0
Poor buy-in - nurse staff	9.3	Poor buy-in - nurse staff	4.3	Poor buy-in - nurse staff	15.0
Poor team teamwork	7.0	Leader support - nurses	0.0	Leader support - nurses	10.0
Knowledge of evidence	4.7	Little autonomy	0.0	Lack QI skills	10.0
Leader support - nurses	4.7	Lack QI skills	0.0	Leader support - exec	5.0
Lack QI skills	4.7	Confusion on CUSP	0.0	Little autonomy	5.0
Little autonomy	2.3	Poor team teamwork	0.0	Poor buy-in - other staff	5.0
Poor buy-in - other staff	2.3	Poor buy-in - other staff	0.0	Knowledge of evidence	0.0