Table 3.
Qualitative content analysis of key informant interviews—individual Consolidated Framework for Implementation Research domain
Qualitative content analysis themes | Clinician type | Relevant topic | Site adherence |
---|---|---|---|
Facilitator | |||
Ability to describe factors associated with the diagnosis of ARDS. | P | LPV | M, H |
Detection of ARDS is not required to initiate low tidal volume or the protocols. | P | LPV, CDS | L, M, H |
High confidence in the ability to use the underlying LPV CDS tool technology for patient care. | RT, P | CDS | L, M, H |
Intent to use LPV and the LPV CDS tools | RT, P | LPV, CDS | L, M, H |
Barrier | |||
Difficulty detecting low-to-moderate or developing ARDS in patients. | P | LPV | L, M, H |
Return to alternative ventilation and oxygenation strategies that they have been successfully using in the past. | RT, P | LPV | L, M |
Uncertain regarding the purpose and use of each of the four protocols in clinical care. | RT | CDS | L, M |
Uncertain when its acceptable to depart from protocol recommendations. | RT | CDS | L, M |
Clinician type—respiratory therapist (RT) and physician (P); relevant topic—lung-protective ventilation (LPV) and clinical decision support (CDS) tool; site adherence—low (L), medium (M), and high (H)